| Regimental number | 7740 |
| Place of birth | Finland Russia |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, Mrs M Clarke, c/o James Street School, Perth, Western Australia |
| Enlistment date | 12 April 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 12 December 1918 |
