| Regimental number | 2813 |
| Place of birth | Millers Forest New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Raymond Terrace, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Emma Healey, Raymond Terrace, New South Wales |
| Enlistment date | 28 October 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 25 September 1919 |