| Regimental number | 4649 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of Christ |
| Occupation | Clerk |
| Address | 163 Nelson Place, Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs F Atkinson, 163 Nelson Place, Williamstown, Victoria |
| Enlistment date | 25 January 1916 |
| Date of enlistment from Nominal Roll | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 8 January 1919 |
