| Regimental number | 67169 |
| Place of birth | Narrandera New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | West Wyalong, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs E Folley, West Wyalong, New South Wales |
| Enlistment date | 26 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 24 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
