| Regimental number | 3500 |
| Place of birth | Chippendale New South Wales |
| Religion | Church of England |
| Occupation | Deeler |
| Address | 60 Gerrard Street, Alexandria, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs M E Workman, 125 Campbell Street, Newtown, New South Wales |
| Enlistment date | 4 August 1915 |
| Date of enlistment from Nominal Roll | 11 August 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 13 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 15 May 1919 |
