| Regimental number | 6249 |
| Place of birth | Winnepeg Canada |
| Religion | Church of England |
| Occupation | Joiner |
| Address | GPO Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs E Delcasse, Reay Street, Castlemaine, Victoria |
| Enlistment date | 4 June 1916 |
| Date of enlistment from Nominal Roll | 9 June 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 11 September 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | a Provost C |
| Fate | Returned to Australia 21 March 1919 |
