| Regimental number | 11381 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Grocer's assistant |
| Address | Limestone Street, Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs C Hardy, Limestone Street, Ipswich, Queensland |
| Previous military service | 3rd AASC |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | Depot Unit Of Supply 15 |
| AWM Embarkation Roll number | 25/109/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Regimental number from Nominal Roll | 1381 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Division Australian Army Service Corps |
| Fate | Returned to Australia 4 July 1918 |
| Other details | Medals: British War Medal, Victory Medal |
