| Regimental number | 2913 |
| Place of birth | Worley England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sheriff Street, Paddington, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Gertrude Hazelgrove, Sheriff Street, Paddington, Brisbane, Queensland |
| Enlistment date | 4 July 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 4 December 1918 |