| Regimental number | 2191 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Kiln setter |
| Address | Auburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Mary Hearn, 25 Norvall Street, Auburn, New South Wales |
| Enlistment date | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 3 March 1917 |
