| Regimental number | 6795 |
| Place of birth | Kyneton, Victoria |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Echuca, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Marian Geraldine Day care Mrs Charles Jepson, Pakenham Street, Echuca, Victoria |
| Enlistment date | 9 November 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 7 July 1919 |
