| Regimental number | 5127 |
| Place of birth | Hay New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 126 Hawthorne Parade, Haberfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs M A Haylock, 126 Hawthorne Parade, Haberfield, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Fate | No details of fate entered on Nominal Roll |
