| Regimental number | 3909 |
| Place of birth | Herberton Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Herberton, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs H Adair, Herberton PO, Herberton, Queensland |
| Enlistment date | 20 September 1915 |
| Date of enlistment from Nominal Roll | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 2 January 1919 |
