| Regimental number | 5082 |
| Place of birth | Glebe New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | 173 Clevefand Street, Redfern, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | grandmother, J Brown, Doncaster Avenue, Kensington, Sydney, New South Wales |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 4 May 1917 |