| Regimental number | 6134 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ambrose Siding via Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Emily Elizabeth Hamilton, Ambrose Siding via Rockhampton, Queensland |
| Enlistment date | 19 September 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 15 June 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
