| Regimental number | 5082 |
| Place of birth | Middlesex England |
| Religion | Church of England |
| Occupation | Carpet planner |
| Address | 9 Brown Street, Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs C Dean, 9 Brown Street, Collingwood, Victoria |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 27 September 1917 |
