| Regimental number | 3126 |
| Place of birth | Heywood Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Town Hall, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Ullathorne , 15 Kent Street, Windsor, Victoria |
| Enlistment date | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Corps Details |
| Fate | Returned to Australia 7 June 1918 |
