| Regimental number | 5159 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 322 Bernard Street, Bendigo, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs W Carter, 382 Bernard Street, Bendigo, Victoria |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 15 May 1919 |
