| Regimental number | 5069 |
| Place of birth | Hobart Tasmania |
| Religion | Church of England |
| Occupation | Sailor |
| Address | Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs F Innes, Mafeking Boarding House 27 Campbell Street, Hobart, Tasmania |
| Enlistment date | 11 November 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 24 December 1918 |
