| Regimental number | 2004 |
| Place of birth | Essendon Victoria |
| Religion | Methodist |
| Occupation | Driver |
| Address | East Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Ross, 4 Lyndhurst Crescent, East Brunswick Melbourne, Victoria |
| Enlistment date | 18 January 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 17 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 24 October 1917 |
