| Regimental number | 2569 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Mundubbera, Queensland |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Katherine Hull, Mundubbera, Queensland |
| Enlistment date | 6 April 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | 2nd Lieutenant |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 30 January 1918 |
