| Regimental number | 4995 |
| Place of birth | Ultimo New South Wales |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | 111 Church Street, Camperdown, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Eugene, 111 Church Street, Camperdown, New South Wales |
| Previous military service | 33rd Infantry |
| Enlistment date | 6 December 1915 |
| Date of enlistment from Nominal Roll | 6 December 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 | 19th Battalion |
| Fate | Returned to Australia 27 September 1918 |
