| Regimental number | 666 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | c/o Anglican Church, Mission, Charlotte Street, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Rose Hr, 49 Middleton Road, London, England |
| Enlistment date | 31 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 11 |
| AWM Embarkation Roll number | 24/16/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Discharged 9 October 1919 |
