| Regimental number | 1042 |
| Religion | Church of England |
| Occupation | Repairer |
| Address | Tonganah Station via Scottsdale, Tasmania |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Correa, Tonganah Station via Scottsdale, Tasmania |
| Enlistment date | NO ENTRY |
| Date of enlistment from Nominal Roll | 31 August 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, F Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on 20 October 1914 |
| Regimental number from Nominal Roll | 1040 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 20 March 1915 |
