| Regimental number | 3074 |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Wyong, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Eileen Victoria Kennedy, 67 Trafalgar Street, Annandale, New South Wales |
| Enlistment date | 27 January 1917 |
| Date of enlistment from Nominal Roll | 22 January 1917 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/53/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 10 September 1917 |