| Regimental number | 2637 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 51 Carlisle Street, St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Hilda Winifred Fentiman, 51 Carlisle Street, St Kilda, Victoria |
| Enlistment date | 19 November 1917 |
| Rank on enlistment | Private |
| Unit name | January 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 4 January 1919 |