| Regimental number | 3069 |
| Place of birth | Talbot, Victoria |
| Religion | Church of England |
| Occupation | Packer |
| Address | Wooling, Orrong Road, Caulfield, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs E Paice, Esplanade, St Kilda, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 28 March 1919 |
