| Regimental number | 6403 |
| Place of birth | Townsville Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Annie Bacon, Perkins Street, Townsville, Queensland |
| Enlistment date | 23 October 1916 |
| Date of enlistment from Nominal Roll | 23 October 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/42/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | INF25REIN18 |
| Fate | Returned to Australia 20 December 1918 |
