| Regimental number | 5916 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Bread carter |
| Address | 9 Mary Street, Northcote South, Victoria |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Annie Tregonning, 9 Mary Street, Northcote South, Victoria |
| Enlistment date | 9 May 1916 |
| Date of enlistment from Nominal Roll | 6 June 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 15 September 1919 |
