| Regimental number | 7042 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Cousin, Madam Marie Caille, 17 Rue Caulin Court, Paris, France |
| Enlistment date | 3 November 1917 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| 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 | Australian Army Pay Corps |
| Fate | Discharged 6 February 1918 |