| Regimental number | 4663 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | 16 Hunter Street, Wonthaggi, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Amelia Ellen M Burchell, 16 Hunter Street, Wonthaggi, Victoria |
| Enlistment date | 31 January 1916 |
| Date of enlistment from Nominal Roll | 15 February 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 10 June 1916 |
