| Regimental number | 9663 |
| Place of birth | Buckinghamshire England |
| Religion | Church of England |
| Occupation | Ship's cook |
| Address | Stanley Terrace, Taringa, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Friend, Mrs Harriet Foster, Stanley Terrace, Taringa, Brisbane, Queensland |
| Enlistment date | 11 October 1915 |
| Rank on enlistment | Private |
| Unit name | 7th Field Ambulance, 10th Reinforcements |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |
