| Regimental number | 58904 |
| Place of birth | Goulburn New South Wales |
| Religion | Presbyterian |
| Occupation | First class warder |
| Address | Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs L Graham, Grafton Street, Goulburn, New South Wales |
| Enlistment date | 18 April 1918 |
| Rank on enlistment | Private |
| Unit name | 10th General Service (NSW) Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Headquarters, Australian Base Depot |
| Fate | Returned to Australia 25 September 1919 |