| Regimental number | 1622 |
| Place of birth | Brewarrina New South Wales |
| Religion | Church of England |
| Occupation | Shearer |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs Nita Maud Harding, Mildura, Victoria |
| Enlistment date | 14 November 1916 |
| Rank on enlistment | Private |
| Unit name | December 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | d Field TRP AND B TRAIN |
| Fate | Returned to Australia 26 July 1919 |
