| Regimental number | 2910 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bumbaldry, Grenfellll |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Miss Blanche Hawkins, c/o Mrs F Booth, Kent Street, Rose Bay, New South Wales |
| Enlistment date | 23 May 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Fate | No details of fate entered on Nominal Roll |