| Regimental number | 3719 |
| Place of birth | St Kilda, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 49A Pakenham Street, St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs M Fowler, 49A Pakenham Street, St Kilda, Victoria |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/24/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia 28 March 1919 |
