| Regimental number | 1626 |
| Place of birth | Maryborough, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Walmer, via Maldon, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mrs T C Chaplin, Walmer, via Maldon, Victoria |
| Enlistment date | 28 September 1914 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 2 April 1919 |
