| Regimental number | 3076 |
| Place of birth | Dowlingville South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Dowlingville, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Edith Illman, Balaklava, South Australia |
| Enlistment date | 12 March 1917 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/60/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 22 September 1919 |
