| Regimental number | 5661 |
| Place of birth | Melbourne, Victoria |
| Religion | Methodist |
| Occupation | Insurance clerk |
| Address | Queenslea Drive, Claremont, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M A Burridge c/o Mrs H E Mofflin, Victoria Parade, Claremont, Western Australia |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A29 Suevic on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Discharged 29 December 1919 |
