| Regimental number | 6524 |
| Place of birth | Eden New South Wales |
| Religion | Roman Catholic |
| Occupation | Dairy hand |
| Address | Nethercote, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, A Fourter, Nethercote, New South Wales |
| Enlistment date | 8 December 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 25 March 1919 |