| Regimental number | 3645 |
| Place of birth | Durban South Africa |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Edith Hines, 'Glendower', 39 Barton Avenue, Haberfield, New South Wales |
| Enlistment date | 28 March 1917 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/62/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 20 December 1917 |
