| Regimental number | 2780 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mitcham Road, Mitcham, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs I Amedee, Mitcham Road, Mitcham, Victoria |
| Enlistment date | 28 June 1915 |
| Date of enlistment from Nominal Roll | 28 June 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Star of Victoria on 10 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | INF5REIN9 |
| Fate | Returned to Australia 21 May 1916 |