| Regimental number | 895 |
| Place of birth | Baan Baa New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bohena Creek, Narrabri West, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Olive Humphries, Bohena Creek, Narrabri West, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, C Company |
| AWM Embarkation Roll number | 23/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |