| Regimental number | 4803 |
| Place of birth | Carlton Victoria |
| Religion | Church of England |
| Occupation | Baker |
| Address | 25 Breeze Street, Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs C Hargreaves, 25 Breeze Street, Brunswick, Victoria |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| 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 | Australian Corps Cyclists' Battalion |
| Fate | Returned to Australia 22 July 1917 |
