| Regimental number | 3004 |
| Place of birth | Paterson New South Wales |
| Religion | Church of England |
| Occupation | Groom |
| Address | Campbell's Hill, West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Matilda Kidd, Campbell's Hill, West Maitland, New South Wales |
| Enlistment date | 7 November 1916 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 9 December 1918 |
