| Regimental number | 3501 |
| Religion | Methodist |
| Occupation | Buttermaker |
| Address | 12 Vale Street, Bathurst, New South Wales |
| Marital status | Widower |
| Age at embarkation | 28 |
| Next of kin | Sister-in-Law, Mrs Eliza Jane Seivers, 12 Vale Street, Bathurst, New South Wales |
| Enlistment date | 10 January 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Effective abroad (still overseas) |
