| Regimental number | 4264 |
| Place of birth | Hounslow England |
| Religion | Church of England |
| Occupation | Ship steward |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Mrs I Bullock, Clydesdale, Vicaragge Road, Hounslow, Middlesex, England |
| Enlistment date | 19 October 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 12 November 1916 |