| Regimental number | 4796 |
| Place of birth | Hawthorn, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 15 Fletcher Street Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Dewhurst, 15 Fletcher Street, Hawthorn, Victoria |
| Enlistment date | 2 September 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 1 August 1919 |
