| Regimental number | 3027 |
| Place of birth | North Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs A Dobson, 186 Dean Street, Moonee Ponds, Victoria |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/25/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia 12 May 1918 |
