| Regimental number | 3647 |
| Place of birth | Middle Rason England |
| Religion | Church of England |
| Occupation | Carter |
| Address | Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Charlotte Gash, 387 Lower East Street, Rockhampton, Queensland |
| Enlistment date | 12 June 1917 |
| Date of enlistment from Nominal Roll | 11 June 1917 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 11 January 1918 |