| Regimental number | 15817 |
| Place of birth | Gladesville New South Wales |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Roseville, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Mrs E Park, Larkin Street, Roseville, New South Wales |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 5 September 1919 |
