| Regimental number | 5399 |
| Place of birth | Bedfordshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M A Jane, 22 Buckingham Street, Wolverton Bucks, England |
| Enlistment date | 20 November 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 11 January 1918 |