| Regimental number | 90 |
| Place of birth | Stanthorpe Queensland |
| Religion | Church of England |
| Occupation | Fitter's assistant |
| Address | Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Annie Gribble, 'Loraine', Dixon Street, Waverley, New South Wales |
| Enlistment date | 22 December 1916 |
| Rank on enlistment | Private |
| Unit name | Section 1 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 6th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 9 August 1919 |
