| Regimental number | 5563 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Agent |
| Address | Muloowurtie, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Josephine Carver, Muloowurtie, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Date of death |