| Regimental number | 7264 |
| Place of birth | Cumberland New South Wales |
| Religion | Church of England |
| Occupation | Brick maker |
| Address | Hurstville, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs A Queen, Forest Road, Hurstville, New South Wales |
| Enlistment date | 8 January 1917 |
| Date of enlistment from Nominal Roll | 9 January 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 24th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 21 December 1917 |