| Regimental number | 1667 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Haddon PO, Haddon, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Elizabeth Mary Brown, Haddon PO, Haddon, Victoria |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Fate | No details of fate entered on Nominal Roll |
