| Regimental number | 2142 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Store manager |
| Address | Ashfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Catherine Baxter, 22 Hugh Street, Ashfield, New South Wales |
| Enlistment date | 3 April 1916 |
| Date of enlistment from Nominal Roll | 23 March 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 4 May 1917 |
