| Regimental number | 3504 |
| Place of birth | Chilwell, Victoria |
| Religion | Church of England |
| Occupation | Miner |
| Address | 52 Brunswick Road, Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Clara C Dorsett, 52 Brunswick Road, Brunswick, Melbourne, Victoria |
| Enlistment date | 8 September 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/40/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 13 February 1917 |