| Regimental number | 6530 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | West Tamworth, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | W and Si, Mrs E J Gulley in Mental Hospital, gladesville, NSW, Mrs E B Clark, North Street, Casino, New South Wales |
| Enlistment date | 5 December 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 31 January 1918 |
