| Regimental number | 55609 |
| Place of birth | Illabrook Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Smythesdale PO, Smythesdale via Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Furniss, c/o Smythesdale PO, Smythesdale via Ballarat, Victoria |
| Enlistment date | 22 April 1918 |
| Rank on enlistment | Private |
| Unit name | 7th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on 23 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 22 July 1919 |
