| Regimental number | 30610 |
| Place of birth | Geelong, Victoria |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Autumn Street Geelong West, Victoria |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | mO, Mrs M Burn, Autumn Street Geelong West, Victoria |
| Enlistment date | 20 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 3, Reinforcement 6 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 1 July 1919 |