| Regimental number | 3410 |
| Place of birth | Middlesex England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Friend, Miss Nea Coulter, Stanmore, New South Wales |
| Enlistment date | 29 May 1917 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/59/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 15 April 1918 |