| Regimental number | 5049 |
| Place of birth | Somerset England |
| Religion | Church of England |
| Occupation | Metal worker |
| Address | 9 Avenue Road, Camberwell, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Friend, Miss D Parker, 9 Avenue Road, Camberwell, Victoria |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 13 April 1919 |
