| Regimental number | 4758 |
| Place of birth | East Prahran, Victoria |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | East Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Lillian Edna Daisy Brown, 22 Danole Avenue, East Prahran, Victoria |
| Enlistment date | 8 February 1917 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/46/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 12 December 1918 |
