| Regimental number | 25663 |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Hillara, Parklea via Blacktown, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, A Hartley, Hillara, Parklea via Blacktown, New South Wales |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 5, Reinforcement 4 |
| AWM Embarkation Roll number | 25/93/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 29 July 1916 |
| Fate | No details of fate entered on Nominal Roll |