| Regimental number | 1927 |
| Place of birth | Bangalor India |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Grants Creek via Denman, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Friend, Mrs A Ham, Grants Creek via Denman, New South Wales |
| Enlistment date | 6 July 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 13 December 1915 |
