| Regimental number | 6291 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Dairy farmer |
| Address | Rosebank, North Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs B Hall, Tregeagle, via Richmond River, New South Wales |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Divisional Signal Company |
| Fate | Returned to Australia 4 July 1919 |
