| Regimental number | 4210 |
| Place of birth | Marrickville New South Wales |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 345 Victoria Road, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E Ibbotson, 345 Victoria Road, Marrickville, New South Wales |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Motor Transport Company |
| Fate | Returned to Australia 19 December 1918 |
