| Regimental number | 2789 |
| Place of birth | Hamilton, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Nil |
| Enlistment date | 4 August 1916 |
| Date of enlistment from Nominal Roll | 4 April 1916 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Infantry Base Depot |
| Fate | Returned to Australia 12 December 1918 |
