| Regimental number | 5977 |
| Place of birth | Brighton, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 12 Fleet Street, Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Friend, Miss B Sevenston, 12 Fleet Street, Fitzroy, Victoria |
| Enlistment date | 30 January 1915 |
| Date of enlistment from Nominal Roll | 30 November 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Regimental number from Nominal Roll | 5977A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia 12 May 1918 |
