| Regimental number | 4166 |
| Date of birth | |
| Place of birth | Canterbury, Victoria |
| Religion | Church of England |
| Occupation | Student |
| Address | Canterbury Road, Canterbury, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M Demaine, Canterbury Road, Canterbury, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 6th Battalion |
| Promotions |
2nd Lieutenant Unit: INF6 Promotion date: Lieutenant Unit: INF6 Promotion date: |
| Fate | Returned to Australia |