| Regimental number | 5782 |
| Place of birth | Christchurch New Zealand |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 92 Brown Streeat, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs Norah Hullett, corner of Holland and Onslow Streets, East Fremantle, Western Australia |
| Enlistment date | 27 March 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on 30 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 4 June 1919 |