| Regimental number | 1104 |
| Place of birth | Balmain New South Wales |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | Malop Street, Geelong, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Millie Dance, Malop Street, Geelong, Victoria |
| Enlistment date | 3 October 1914 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, A Company |
| AWM Embarkation Roll number | 23/25/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A24 Benalla on 19 October 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 1 November 1917 |
