| Regimental number | 6703 |
| Place of birth | Birchip Victoria |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Victoria Street, Mitcham, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Ff, Miss D V Burke, 6 Wattle Tree Road, Armadale, Victoria |
| Enlistment date | 12 October 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| 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 | 6th Battalion |
| Fate | Returned to Australia 10 December 1918 |
