| Regimental number | 5074 |
| Place of birth | Millers Point New South Wales |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Calder Road, Redfern, New South Wales |
| Marital status | Widower |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs E Eden, Calder Road, Redfern, New South Wales |
| Enlistment date | 27 October 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 21 April 1918 |
