| Regimental number | 562 |
| Place of birth | Port Esperance, Tasmania |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Cygnet, Tasmania |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Annie Margaret Innis, Cygnet, Tasmania |
| Previous military service | 93rd Infantry |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Lance Corporal |
| Unit name | 40th Battalion, C Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Date of death | 3 May 1975 |
