| Regimental number | 6212 |
| Religion | Church of England |
| Occupation | House decorator |
| Address | 88 Grosvenor Street, East St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Atkins, 88 Grosvenor Street, East St Kilda, Victoria |
| Enlistment date | 22 March 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 2 June 1919 |