| Regimental number | 566 |
| Date of birth | |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Grosvenor Street, Woollahra, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Mildred Mary Elsworth, c/o R Perry, 'The Oaks', Glenhuntly Road, Elsternwick, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 8, Reinforcement 9 |
| AWM Embarkation Roll number | 24/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Machine Gun Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |