| Regimental number | 5133 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 42 Douglas Street, Redfern, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Mrs M M Jennings, 42 Douglas Street, Redfern, New South Wales |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 24 June 1916 |
