| Regimental number | 5157 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Fitter |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs Mary Mitchell, Allanbee, Noble Street, Geelong, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Light Horse Brigade Train 3 |
| AWM Embarkation Roll number | 25/100/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 189 Date: |