| Regimental number | 4151 |
| Place of birth | Sale Victoria |
| Religion | Church of England |
| Occupation | Bushman |
| Address | 111 Riley Street, Woolloomooloo, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, A Mitchell, Mailroom, Perth, Western Australia |
| Enlistment date | 13 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Infantry Brigade Headquarters |
| Fate | Returned to Australia 10 December 1918 |
