| Regimental number | 4709 |
| Religion | Methodist |
| Occupation | Grocer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Agnes Groome, Stanley Bridge, Coorparoo, Brisbane, Queensland |
| Enlistment date | 9 December 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 19 October 1917 |