| Regimental number | 509 |
| Place of birth | Glen Osmond South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Flinders Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs Florence Marenda Capper, Fulton, South Australia |
| Enlistment date | 21 September 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 14, Reinforcement 8 |
| AWM Embarkation Roll number | 24/19/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 5 July 1919 |