| Regimental number | 5663 |
| Place of birth | Melbourne, Victoria |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Pelham Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs A Chute, 1 Grove Place, Pelham Street, Carlton, Victoria |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| 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 | 8th Battalion |
| Fate | Returned to Australia 8 April 1917 |