| Regimental number | 4804 |
| Place of birth | Maryborough Victoria |
| Religion | Church of England |
| Occupation | Cellarman |
| Address | Wahgunyah, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs D E Hall, Wahgunyah, Victoria |
| Enlistment date | 3 November 1915 |
| Date of enlistment from Nominal Roll | 17 November 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 10 July 1916 |
