| Regimental number | 4777 |
| Place of birth | Kilmore Victoria |
| Religion | Church of England |
| Occupation | Fettler |
| Address | Ootha, via Condobolin, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs C A Ficken, Ootha, Condobolin, New South Wales |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 18 December 1918 |
