| Regimental number | 6684 |
| Place of birth | Queensland |
| Religion | Baptist |
| Occupation | Contractor |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, W Theis, Mountain Camp, Crow's Nest, Queensland |
| Enlistment date | 2 October 1916 |
| Date of enlistment from Nominal Roll | 2 October 1916 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 31 January 1918 |