| Regimental number | 1972 |
| Place of birth | Cumberland New South Wales |
| Religion | Church of England |
| Occupation | Engine cleaner |
| Address | Chappel Road, Bankstown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs L Jeffes, Chappel Road, Bankstown, Sydney, New South Wales |
| Enlistment date | 4 January 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 26 July 1919 |
