| Regimental number | 6848 |
| Place of birth | Lewisham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o W G Lucas, Coolamon, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs E Head, Three Oaks, Griestland, Sussex, England |
| Enlistment date | 20 October 1916 |
| Date of enlistment from Nominal Roll | 20 October 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 11 January 1918 |
