| Regimental number | 250 |
| Place of birth | Stawell, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs E Forrest, Wolfram Street, Broken Hill, New South Wales |
| Enlistment date | 28 January 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, B Company |
| AWM Embarkation Roll number | 23/44/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 31 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 3 March 1919 |
