
| Regimental number | 2004 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Purrumbeet via Weerite, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | J Cooper, Purrumbeet via Weerite, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/46/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Trench Mortar Battery |
| Fate | Died of disease |
| Panel number, Roll of Honour, Australian War Memorial | 19 |