| Regimental number | 6084 |
| Place of birth | Mulwala New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mulwalla, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs J Bassett, Mulwalla, Sydney, New South Wales |
| Enlistment date | 12 January 1915 |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade 5, 15th Company, Army Service Corps |
| AWM Embarkation Roll number | 25/103/1 |
| Embarkation details | Unit embarked from |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | Australian General Base Depot |
| Fate | Returned to Australia 30 January 1918 |
