| Regimental number | 5376 |
| Place of birth | Gatton Queensland |
| Religion | Methodist |
| Occupation | Sawyer |
| Address | Murphy's Creek, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs. A.M. Juillerat, Perseverance, via Murphy's Creek, Queensland |
| Enlistment date | 17 November 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 16 January 1919 |
