| Regimental number | 3029 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Mount Pleasant, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Eliza Hicks, Mount Pleasant, South Australia |
| Enlistment date | 30 March 1917 |
| Date of enlistment from Nominal Roll | 30 March 1917 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/60/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 19 February 1919 |
