| Regimental number | 5436 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | Peterson Street, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Jaggs, Peterson Street, South Brisbane, Queensland |
| Enlistment date | 26 November 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 13 April 1919 |
