| Regimental number | 1189 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Ballarat PO City, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Miss E Gregory, Ballarat PO City, Ballarat, Victoria |
| Enlistment date | 31 October 1914 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/30/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 31 October 1915 |
