| Regimental number | 5075 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Lineman |
| Address | 60 Raglan Street, Waterloo, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs R M Pantlin, 60 Raglan Street, Waterloo, New South Wales |
| Enlistment date | 19 December 1915 |
| Date of enlistment from Nominal Roll | 9 January 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Regimental number from Nominal Roll | 5075a |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 5 April 1919 |
