| Regimental number | 5645 |
| Place of birth | Richmond Victoria |
| Religion | Baptist |
| Occupation | Mattress maker |
| Address | 87 Tinning Street, Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Dorothy Muriel Nicholls, 8 McKay Avenue, Glen Huntly,Vic |
| Enlistment date | 17 March 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 27 August 1917 |
