| Regimental number | 4370 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs C Cairns, Fry Street, Eaglehawk, Victoria |
| Enlistment date | 24 October 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Malwa on 23 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 9 September 1916 |
