| Regimental number | 53291 |
| Place of birth | Beaudesert Queensland |
| Religion | No religion |
| Occupation | Timber worker |
| Address | Canungra, South Coast Line, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, A Jerome, Canungra, South Coast Line, Queensland |
| Enlistment date | 7 January 1918 |
| Date of enlistment from Nominal Roll | 9 January 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Effective abroad (still overseas) |