| Regimental number | 4734 |
| Place of birth | Plymton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Anthony, Queensland |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Elsie Hicks, Anthony, Fassafern Line, Queensland |
| Enlistment date | 8 November 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 24 January 1919 |
