| Regimental number | 6487 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Post Office, Pentland, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Friend, Miss M Connelly, Mining Exchange Hotel, Charter's Towers, Queensland |
| Enlistment date | 26 June 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 15 April 1918 |
