| Regimental number | 7613 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Tunstall, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs C Daniels, 131 Coutts Burdett Road, Mile End, London, Ec, England |
| Enlistment date | 22 June 1917 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/22/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 13 July 1919 |
