| Regimental number | 3774 |
| Place of birth | Moree New South Wales |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Guardian, J Atkinson, Paringa George Street, Deniliquin, New South Wales |
| Enlistment date | 16 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/26/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A50 Itonus on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a PROV CORPS |
| Fate | Returned to Australia 3 May 1919 |
