| Regimental number | 6570 |
| Place of birth | Darlington New South Wales |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Newtown, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister-in-Law, Mrs M E Holden, 174 Darley Street, Newtown, Sydney, New South Wales |
| Enlistment date | 28 February 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 | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 15 January 1919 |