| Regimental number | 11490 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Box 27, Bellingen PO, Bellingen, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs E Cory, 70 Horse Fery Road, Westminster, England |
| Enlistment date | 29 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | 5th Field Artillery Brigade, Reinforcement 3 |
| AWM Embarkation Roll number | 13/33/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 27 July 1917 |