| Regimental number | 4757 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Butcher |
| Address | Cummins Street off Sulphide Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs B Dolman, Cummins Street off Sulphide Street, Broken Hill, New South Wales |
| Enlistment date | 22 October 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 3 September 1919 |
| Date of death | 9 July 1965 |
