| Regimental number | 4221 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Painter |
| Address | 1 Royal Place, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs A Jukes, 1 Royal Place, Richmond, Victoria |
| Enlistment date | 15 July 1915 |
| Date of enlistment from Nominal Roll | 22 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 18 December 1918 |
