| Regimental number | 6082 |
| Place of birth | Chicago New York USA |
| Religion | Church of England |
| Occupation | Cook |
| Address | P O Quambone, Quambone, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Jane House, Commercial Hotel, Peterborough, England |
| Enlistment date | 22 April 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 31 January 1918 |