| Regimental number | 4499 |
| Place of birth | Coolah New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Willie Street Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, H Major, 36 Campbell Street, Milsons Point, Sydney, New South Wales |
| Enlistment date | 18 August 1915 |
| Date of enlistment from Nominal Roll | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 23 May 1917 |
