| Regimental number | 6976 |
| Place of birth | Collingwood, Victoria |
| Religion | Baptist |
| Occupation | Sign writer |
| Address | 132 Gertrude Street, Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs A Cameron, 132 Gertrude Street, Fitzroy, Victoria |
| Enlistment date | 15 November 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 23 September 1919 |
