| Regimental number | 5033 |
| Place of birth | Donald, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gre Gre Village, St Arnaud, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs Northby, Gre Gre Village, St Arnaud, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |