| Regimental number | 6876A |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Rubber worker |
| Address | East Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs A Price, 199 Barkley Street, East Brunswick, Victoria |
| Enlistment date | 19 July 1917 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Regimental number from Nominal Roll | 6876 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 7 June 1918 |
