| Regimental number | 6574 |
| Place of birth | Cumberland England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | North Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs E Kirkpatrick, 12 Bateson Street Newbridge Lane, Stockport Cheshire, England |
| Enlistment date | 29 December 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 1 November 1917 |