| Regimental number | 3321 |
| Place of birth | Merthyrtydvill Wales |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Sherwood, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Ethel Maud Jordan, Telford Street, Rockhampton, Queensland |
| Enlistment date | 2 May 1917 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/59/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 21 July 1918 |