| Regimental number | 4654 |
| Place of birth | Malmsbury, Victoria |
| Religion | Baptist |
| Occupation | Plumber |
| Address | 34 Balston Street, St Kilda, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Alice Andrews, 36 Blenheim Street, East St Kilda Melbourne, Victoria |
| Enlistment date | 31 January 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 20 May 1919 |