| Regimental number | 2390 |
| Place of birth | Besse France |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Canley Vale, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Annie Coutable, Canley Vale, New South Wales |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/70/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 14 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 4 May 1917 |
