| Regimental number | 640 |
| Place of birth | Beaudesert Queensland |
| Religion | Methodist |
| Occupation | Timber getter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Elizabeth Harrison, Gayndah, Queensland |
| Enlistment date | 22 August 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 11 |
| AWM Embarkation Roll number | 24/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Machine Gun Company |
| Fate | Returned to Australia 12 May 1919 |
