| Regimental number | 6763 |
| Place of birth | Wilmington South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Wellington, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E A Hill, Wellington, South Australia |
| Enlistment date | 14 April 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 7 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 3 March 1919 |