| Regimental number | 4843 |
| Place of birth | Newmarket Victoria |
| Religion | Church of England |
| Occupation | Waggon builder |
| Address | Devon Road, West Guildford, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs M E Kelly c/o W Blacklock, Guildford Road, Belmont, Western Australia |
| Enlistment date | 20 December 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 23 May 1917 |
