| Regimental number | 406 |
| Place of birth | Adelong New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | Bark Street, South Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Miss Amelia Rowe, 172 Bark Street, South Melbourne, Victoria |
| Enlistment date | 2 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 10, Reinforcement 5 |
| AWM Embarkation Roll number | 24/15/2 |
| 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 | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 24 December 1918 |
