| Regimental number | 6965 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 309 Raglan Street, Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Miss F Bryant, 309 Raglan Street, Ballarat, Victoria |
| Enlistment date | 6 June 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 25 January 1919 |
