| Regimental number | 3015 |
| Place of birth | Wyalong New South Wales |
| Religion | Church of England |
| Occupation | Baker |
| Address | Osman Street, Blayney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Bates, Osman Street, Blayney, New South Wales |
| Enlistment date | 2 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 22 August 1919 |
