| Regimental number | 6991 |
| Place of birth | Oxfordshire England |
| Religion | Church of England |
| Occupation | Cook |
| Address | PO, Sarsfield, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | ..., ... |
| Enlistment date | 14 November 1916 |
| Date of enlistment from Nominal Roll | 25 October 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 25 July 1917 |
