| Regimental number | 6856 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gundy, via Scone, Northern Line, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, S J Laurence, Gundy, via Scone, North Line, New South Wales |
| Enlistment date | 13 October 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 12 April 1919 |