| Regimental number | 1782 |
| Place of birth | Wentworth New South Wales |
| Religion | Presbyterian |
| Occupation | Ironfounder |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs F Bain, Inmate, Asylum, Sunbury, Victoria |
| Enlistment date | 28 February 1919 |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force Reinforcements, March 1915 to May 1919 |
| AWM Embarkation Roll number | 23/112/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 5 April 1919 |
| Fate | No details of fate entered on Nominal Roll |
