| Regimental number | 6992 |
| Place of birth | Yarram, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Warracknabeal, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Mrs E Doultree, 81 Plenty Road, South Preston, Victoria |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 12 June 1919 |