| Regimental number | 2058 |
| Place of birth | Warrnambool, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 28 Osborne Street, South Yarra, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs I C Bourne, 28 Osborne Street, South Yarra, Victoria |
| Enlistment date | 16 April 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/25/2 |
| 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 14 December 1918 |
