| Regimental number | 5795 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 7 Derby Road, East Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife |
| Enlistment date | 10 June 1916 |
| Date of enlistment from Nominal Roll | 13 June 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| 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 | 23rd Battalion |
| Fate | Returned to Australia 3 July 1919 |