| Regimental number | 4832 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cooyar, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Miss A Long, Bruin, Warracknabeal, Victoria |
| Enlistment date | 18 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 27 September 1917 |
