| Regimental number | 5033 |
| Place of birth | Bigga New South Wales |
| Religion | Church of England |
| Occupation | Trapper |
| Address | Bega, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Jessie Hearne, Blanket Flat, via Crookwell, New South Wales |
| Enlistment date | 14 June 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 23 June 1919 |