| Regimental number | 55704 |
| Place of birth | Stawell Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lubeck PO, Lubeck via Stawell, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A J Womerley, Lubeck PO, Lubeck via Stawell, Victoria |
| Previous military service | 19th ALH |
| Enlistment date | 5 April 1918 |
| Rank on enlistment | Private |
| Unit name | 7th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A74 Marathon on 23 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 23 March 1919 |
