| Regimental number | 641 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Hairdresser |
| Address | Jane Street, Toowong, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Isabella Hackshall, Jane Street, Toowong, Brisbane, Queensland |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 6, Reinforcement 11 |
| AWM Embarkation Roll number | 24/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A46 Clan Macgillivray on 10 May 1917 |
| Regimental number from Nominal Roll | 641A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 4 January 1919 |
