| Regimental number | 5669 |
| Place of birth | Horsham, Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | Woomelang, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs J V Charter, Woomelang, Victoria |
| Enlistment date | 26 February 1916 |
| Place of enlistment | Mildura, Victoria |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 3 September 1919 |
