| Regimental number | 10136 |
| Place of birth | Richmond, Victoria |
| Religion | Church of England |
| Occupation | Handyman |
| Address | 454 Victoria Street, East Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs F Deane, 454 Victoria Street, East Brunswick, Victoria |
| Enlistment date | 14 July 1915 |
| Rank on enlistment | Private |
| Unit name | Reinforcement 6,Depot Unit Of Supply 3 to 7 |
| AWM Embarkation Roll number | 25/107/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 10 March 1918 |