| Regimental number | 60107 |
| Place of birth | Milthorpe New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Tichbourne, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs O Kingham, Tichbourne, New South Wales |
| Enlistment date | 15 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 15 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Gaika on 30 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 22 July 1919 |