| Regimental number | 11111 |
| Place of birth | Carlton, Victoria |
| Religion | Church of England |
| Occupation | Felt hatter |
| Address | Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs L Catley, 201 Westgarth Street, Westgarth, Victoria |
| Enlistment date | 15 September 1915 |
| Rank on enlistment | Private |
| Unit name | May 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 12 June 1919 |
