| Regimental number | 2041 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Royal Hotel, Gosford, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Cousin, Miss I Powell, Royal Hotel, Gosford, New South Wales |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 4 December 1915 |
