| Regimental number | 2923 |
| Place of birth | Mudgee New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 110 Buckingham Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Francis Martha Kissick, 110 Buckingham Street, Sydney, New South Wales |
| Enlistment date | 10 May 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Regimental number from Nominal Roll | 2923A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 19 June 1919 |
