| Regimental number | 640 |
| Place of birth | Coopernook New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Jane Foster, Coopernook, Manning River, New South Wales |
| Enlistment date | 19 September 1916 |
| Date of enlistment from Nominal Roll | 19 September 1915 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 14, Reinforcement 11 |
| AWM Embarkation Roll number | 24/19/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 6 September 1919 |
