| Regimental number | 6784 |
| Place of birth | Collingwood, Victoria |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife |
| Enlistment date | 28 January 1917 |
| Date of enlistment from Nominal Roll | 25 January 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 23 September 1918 |
