| Regimental number | 5817 |
| Place of birth | South Yarra, Victoria |
| Religion | Church of England |
| Occupation | Draper |
| Address | 34 Condell Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Ethel E Daniels, 394 Cardigan Street, Carlton, Victoria |
| Enlistment date | 9 June 1916 |
| Date of enlistment from Nominal Roll | 10 June 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 18 January 1919 |
