| Regimental number | 6249 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 53 McCormack Street, Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E Dawson, 53 McCormack Street, Port Melbourne, Victoria |
| Enlistment date | 13 June 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 25 November 1917 |
