| Regimental number | 5374 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Shearers cook |
| Address | C/o Nurse Perkins, Bondi, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs E H Hall, 502 Old Southead Road, Waverley, New South Wales |
| Enlistment date | 9 November 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 10 July 1916 |
