| Regimental number | 36621 |
| Place of birth | Geelong Vic |
| Religion | Church of England |
| Occupation | Jackeroo |
| Address | 'Wyalcha', Nelson Street, Lindfield, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Marion Agnes Henry MacDonald, Myrtle Farm, Aramac, Queensland |
| Enlistment date | 22 January 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 29 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 28 March 1919 |