| Regimental number | 3097 |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Rebecca Hathaway, Quinton Road, Manly, New South Wales |
| Enlistment date | 5 March 1917 |
| Rank on enlistment | Private |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 9 May 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Signal Squadron |
| Fate | Returned to Australia 3 July 1919 |