| Regimental number | 3755 |
| Place of birth | Taree New South Wales |
| Religion | Church of England |
| Occupation | Mechanic |
| Address | 41 Albany Street, Crows Nest, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, A Galloway, 41 Albany Street, Crows Nest, New South Wales |
| Enlistment date | 5 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 62nd Battalion |
| Fate | Returned to Australia 11 January 1918 |
