| Regimental number | 6836 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Windsor, Victoria |
| Age at embarkation | 37 |
| Next of kin | Mrs Kathryn Hey, 2 Hyland street, South Yarra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion 19th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Date of death | |
| Place of burial | Springvale Cemetery |