| Regimental number | 6783 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Fishmonger |
| Address | 9 Bridge Street, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs H Myall, c/o Mrs J Roberts, 226 High Street, Northcote, Victoria |
| Enlistment date | 20 September 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 31 October 1917 |
