| Regimental number | 6096 |
| Place of birth | Carcoar New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Bimbi road via Grenfell, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Alice Hatkinson, C/o Sherry Bimbi road via Grenfell, New South Wales |
| Enlistment date | 26 July 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
| Regimental number from Nominal Roll | 6096A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 5 July 1919 |