| Regimental number | 5084 |
| Place of birth | Castlemaine, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 5 William Street, Glenferrie, Victoria |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Friend, Mrs F Wells, 5 William Street, Glenferrie, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| 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 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |