| Regimental number | 2067 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sulky PO, Sulky, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Friend, Mrs Waterman, Sulky PO, Sulky, Victoria |
| Previous military service | 70th Infantry |
| Enlistment date | 20 March 1916 |
| Date of enlistment from Nominal Roll | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/56/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 8 August 1919 |