| Regimental number | 3613 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Pyrmont, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Friend, Mrs Ethel Williams, 262 Harris Street, Pyrmont, New South Wales |
| Enlistment date | 10 April 1917 |
| Date of enlistment from Nominal Roll | 10 April 1917 |
| Place of enlistment | Sydney, New South Wales |
| 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 | 56th Battalion |
| Fate | Discharged 20 February 1919 |
