| Regimental number | 1876 |
| Place of birth | Geelong, Victoria |
| Religion | Church of England |
| Occupation | Contractor |
| Address | 7 Brougham Street, St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Harriet Ethel Burn, 7 Brougham Street, St Kilda, Victoria |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 27 August 1917 |
