| Regimental number | 6761 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs E A Hall C/o Mrs Suckling, Claral Hysom Ningana Avenue, Kings Park, South Australia |
| Enlistment date | 28 August 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 7 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 15 September 1918 |