| Regimental number | 3064 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 7 Shields Street, Newmarket, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs E J Cariss, 273 Ascot Vale Road, Ascot Vale, Victoria |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Division Artillery |
| Fate | Returned to Australia 28 March 1919 |
