| Regimental number | 2190 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Vine Street, Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Eva Hill, Vine Street, Prospect, South Australia |
| Enlistment date | 5 May 1916 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Regimental number from Nominal Roll | 2190A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 10 September 1917 |