| Regimental number | 2076 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Halcyon Street, Cessnock, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Friend, Miss Ethel Ross, Haleyon Street, Cessnock, New South Wales |
| Enlistment date | 26 February 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 10 January 1918 |
