
| Regimental number | 55576 |
| Place of birth | Sebastopol, Victoria |
| Religion | No religion |
| Occupation | Moulder |
| Address | 1115 Eyre Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs E Cairns, 1115 Eyre Street, Ballarat, Victoria |
| Previous military service | 30th Australian Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Train |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |