| Regimental number | 5650 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 65 Palmer Street, Balmain, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs G Bayley, 65 Palmer Street, Balmain, Sydney, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Fate | No details of fate entered on Nominal Roll |
