| Regimental number | ... |
| Place of birth | Eidsvold Queensland |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Cairns Station, Charleville, Queensland, |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs N A Lane, Winalong Klein Street, Toowoomba, Queensland |
| Enlistment date | 7 July 1915 |
| Rank on enlistment | Lieutenant |
| Unit name | 15th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 30 January 1918 |
