| Regimental number | 1942 |
| Place of birth | Port Fairy, Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | c/o Mrs J Osmond, Port Fairy, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs J Osmond, Port Fairy, Victoria |
| Enlistment date | 20 January 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 5 November 1917 |
