| Regimental number | 1188 |
| Place of birth | Hawkesbury River New South Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Miss S Tacey, 14 Strathna Avenue, Seattle, Usw |
| Enlistment date | 28 September 1914 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 24 June 1916 |
