| Regimental number | 68996 |
| Place of birth | Marungi, Victoria |
| Religion | Church of England |
| Occupation | Tram gripman |
| Address | 258 Grant Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A M Ballard, 258 Grant Street, South Melbourne, Victoria |
| Enlistment date | 20 April 1918 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
