| Regimental number | 4778 |
| Place of birth | Collingwood Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 70 Roseneath St Clifton Hill, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs 1 Fiven, 70 Roseneath Street, Clifton Hill, Melbourne, Victoria |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| 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 | 60th Battalion |
| Fate | Returned to Australia 13 February 1917 |
