| Regimental number | 2764 |
| Religion | Church of England |
| Occupation | Horse-driver |
| Address | 57 Gibbons Street, Redfern, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | W (deserted), Mrs Lilian Baker, 51 Botany Street, Waterloo, Sydney, New South Wales |
| Enlistment date | 14 November 1916 |
| Date of enlistment from Nominal Roll | 14 November 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Regimental number from Nominal Roll | 2764A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 14 December 1918 |