| Regimental number | 4054 |
| Place of birth | Campbelltown Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Campbell Town, Tasmania |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs J Kirby, Campbell Town, Tasmania |
| Enlistment date | 29 August 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT RMS Orontes on 24 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 31 January 1918 |
