| Regimental number | 7017 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Spicers' Creek, via Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Creek, via Wellington, New South Wales |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 31 May 1919 |
