| Regimental number | 4146 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 215 Riley Street, Surry Hills, Sydney, New South Wales |
| Age at embarkation | 42 |
| Next of kin | Sister, Miss K. Cork, 2 St. Silas Place, Waterloo, Sydney, New South Wales |
| Enlistment date | 8 October 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 27 August 1917 |
