| Regimental number | 4172 |
| Place of birth | Hampshire England |
| Religion | Church of England |
| Occupation | Bricklayers assistant |
| Address | Port Kembla, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs H Jordan, Gordons Lane, Mt Morgan, Queensland |
| Enlistment date | 15 November 1915 |
| Date of enlistment from Nominal Roll | 5 November 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 13 February 1917 |
| Date of death | 21 April 1953 |
| Place of burial | Woronora Crematorium |
