| Regimental number | 4678 |
| Place of birth | Carlton, Victoria |
| Religion | Baptist |
| Occupation | Driver |
| Address | 175 Fenwick Street, North Carlton, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M A Carey, 175 Fenwick Street, North Carlton, Melbourne, Victoria |
| Enlistment date | 7 February 1916 |
| Date of enlistment from Nominal Roll | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 27 September 1917 |
