| Regimental number | 4734 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Newlyn PO, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs P Atkins, Newlyn PO, Victoria |
| Enlistment date | 24 November 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 24 July 1919 |
