| Regimental number | 6709 |
| Place of birth | Bourke New South Wales |
| Religion | Methodist |
| Occupation | Station hand |
| Address | Percy Street, Gladesville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A Bates, Danum, Ryde Road, Hunters Hill, Sydney, New South Wales |
| Enlistment date | 22 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 6 July 1919 |
