| Regimental number | 1765 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | Burwood PO, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Aunt, Mrs E Hayes, 39 Wellington Street, Newtown, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Provost Corps |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |