| Regimental number | 5699 |
| Place of birth | Thirkleby England |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Leongatha, Victoria |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs F McKinnon, Leongatha, Victoria |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 21 July 1918 |
