| Regimental number | 5697 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cape Victoria, Bridge Road, Richmond, Victoria |
| Marital status | Widower |
| Age at embarkation | 41 |
| Next of kin | Sister, Miss R Gould, c/o Richmond Furnishing Co, Swan Street, Richmond, Victoria |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 8 April 1917 |
