| Regimental number | 4782 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 8 Albert Street, North Williamstown, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Father, I Everett, Corindhap, near Ballarat, Victoria |
| Enlistment date | 16 April 1915 |
| Date of enlistment from Nominal Roll | 16 April 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 1, Reinforcement 7 |
| AWM Embarkation Roll number | 25/89/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Persia on 10 August 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 23 March 1919 |
