| Regimental number | 4083 |
| Place of birth | Eidsvold Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gayndah, Queensland |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Ruby Law Jaro, Gayndah PO, Gayndah, Queensland |
| Enlistment date | 4 July 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 11 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 18 December 1918 |
