| Regimental number | 6792 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Shearer |
| Address | Cathrine, Queensland |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Florence Esther May Fuller, Rosina Street, Kangaroo Point, Queensland |
| Enlistment date | 19 April 1917 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 9 March 1919 |
