| Regimental number | 2786 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | East Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Aunt, Miss E Andrews, 7 Adolph Street, East Richmond, Melbourne, Victoria |
| Enlistment date | 30 June 1915 |
| Date of enlistment from Nominal Roll | 20 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 27 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 21 May 1916 |
