| Regimental number | 963 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Port Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Mrs Harriet A Grayson, 139 Ross Street, Port Melbourne, Victoria |
| Previous military service | 52nd Infantry |
| Enlistment date | 1 March 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, C Company |
| AWM Embarkation Roll number | 23/56/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 27 May 1919 |
