| Regimental number | 20043 |
| Place of birth | Blackburn England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Sydney. New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Annie Hacking, Collins Street, Bowen Bridge, Queensland |
| Enlistment date | 5 April 1917 |
| Rank on enlistment | Sapper |
| Unit name | August 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 18 January 1919 |
