| Regimental number | 6568 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Arncliffe, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs E M A Hines, Kiama Spring Street, Arncliffe, Sydney, New South Wales |
| Enlistment date | 20 November 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
