
| Regimental number | 1918 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Amy Gregory, Crystal Street, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Ambulance |
| Recommendations (Medals and Awards) |
Mention in Despatches Recommendation date: |
| Fate | Returned to Australia |