| Regimental number | 7197 |
| Place of birth | Collingwood, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Collingwood, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs M B Bolwell, 65 Palmer Street, Collingwood, Victoria |
| Enlistment date | 1 December 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/22/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 17 June 1918 |
