| Regimental number | 5821 |
| Place of birth | Cooma New South Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Rowell Street, Horsby, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Friend, Miss Edith Weatherstone, 9 Rosa Street, Enfield, New South Wales |
| Enlistment date | 17 May 1916 |
| Date of enlistment from Nominal Roll | 19 May 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Infantry Brigade Headquarters |
| Fate | Returned to Australia 7 July 1919 |