| Regimental number | 6503 |
| Place of birth | Lithgow New South Wales |
| Religion | Methodist |
| Occupation | Builder |
| Address | Carlotta Street, Gorehill, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J Jones, Arthur Street, Manly, New South Wales |
| Enlistment date | 14 March 1916 |
| Date of enlistment from Nominal Roll | 25 February 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 6 November 1918 |
