| Regimental number | 66719 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Clarke Street, Platsburg, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J F Roy, Cumberland Street, Teralba, New South Wales |
| Enlistment date | 3 August 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 22 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
