| Regimental number | 4264 |
| Place of birth | Jika Jika Victoria |
| Religion | Church of England |
| Occupation | Storekeeper |
| Address | Sea View Crescent, Black Rock, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M Mitchell, Sea View Crescent, Black Rock, Victoria |
| Enlistment date | 29 June 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on 29 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | AAPC |
| Fate | Returned to Australia 29 May 1919 |
