| Regimental number | 5650 |
| Place of birth | Bendigo Victoria |
| Religion | Methodist |
| Occupation | Painter |
| Address | Elmore, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mrs Emily Fatlick, Elmore, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 2nd Field Company Engineers, Reinforcement 14 |
| AWM Embarkation Roll number | 14/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 12th Field Company Engineers |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |