| Regimental number | 3617 |
| Place of birth | Myers Creek Vic |
| Religion | Church of England |
| Occupation | Biscuitmaker |
| Address | Eaglehawk, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, R Cannan, Lester Street, Eaglehawk, Victoria |
| Enlistment date | 24 January 1917 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/74/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 7 July 1919 |
