| Regimental number | 11939 |
| Place of birth | Loddon Vale, Victoria |
| Religion | Church of England |
| Occupation | Butcher |
| Address | South Yarra Post Office, South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Rose Dorman, South Yarra Post Office, South Yarra, Victoria |
| Enlistment date | 28 June 1915 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 1, Reinforcement 14 |
| AWM Embarkation Roll number | 25/89/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 20 April 1919 |