| Regimental number | 6293 |
| Place of birth | Melbourne, Victoria |
| Religion | Roman Catholic |
| Occupation | Barman |
| Address | 49 Capel Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Alice Claxton, 49 Capel Street, North Melbourne, Victoria |
| Enlistment date | 26 October 1916 |
| Date of enlistment from Nominal Roll | 29 June 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| 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 | 21st Battalion |
| Fate | Returned to Australia 18 December 1918 |
