| Regimental number | 4020 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Railway shunter |
| Address | Corio Hotel, Little Malop Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Mrs Margaret Elizabeth Perrott, 34 Moorabool Street, Geelong, Victoria |
| Enlistment date | 26 September 1916 |
| Date of enlistment from Nominal Roll | 27 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 29th Battalion |
| Fate | Returned to Australia 2 March 1919 |