| Regimental number | 5647 |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 32 Union Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | A And M Elder, 32 Union Street, Brunswick, Victoria |
| Enlistment date | 17 February 1916 |
| Date of enlistment from Nominal Roll | 20 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 12 May 1919 |
