| Regimental number | 2661 |
| Place of birth | Croydon Queensland |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Einasleigh, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Sister, Miss M Lavercombe, Einasleigh, Queensland |
| Enlistment date | 11 March 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 5 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 19 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 12 May 1919 |
