| Regimental number | 3647 |
| Religion | Methodist |
| Occupation | Miner |
| Address | Catherine Hill Bay, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Elizabeth Grant, 'Kinsenville', Cariotta Street, Greenwich, Lane Cove River, New South Wales |
| Enlistment date | 11 April 1917 |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/71/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Regimental number from Nominal Roll | 5786 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 3 September 1917 |
