| Regimental number | 1535 |
| Place of birth | South Yarra, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 34 |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Trench Mortar Battery |
| Fate | Returned to Australia |