| Regimental number | 6114 |
| Place of birth | Adelaide South Australia |
| Religion | Baptist |
| Occupation | Jockey |
| Address | North Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs M Fraser, Woodbine Stroud Street, Cheltenham, South Australia |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Salvage Company |
| Fate | Returned to Australia 13 July 1919 |