| Regimental number | 6666 |
| Place of birth | Bendigo, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | East Kalgoorlie, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs F V Dines, c/o Mrs Fuller, 531 Brunswick Road, North Fitzroy, Victoria |
| Enlistment date | 3 January 1917 |
| Date of enlistment from Nominal Roll | 21 November 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 12 July 1919 |
