| Regimental number | 1755 |
| Place of birth | Albert Park Victoria |
| Marital status | Single |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 4th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia |