| Regimental number | 57828 |
| Place of birth | Bangalow New South Wales |
| Religion | Baptist |
| Occupation | Railway shop assistant |
| Address | Casino Road, Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, W Bannister, Casino Road, Lismore, New South Wales |
| Enlistment date | 27 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 23 July 1919 |
