| Regimental number | 1876 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Timber getter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Mary Ann Bagnall, Eight Mile Plains, Brisbane, Queensland |
| Enlistment date | 14 January 1916 |
| Date of enlistment from Nominal Roll | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 3rd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Mcgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 4 December 1918 |
