| Regimental number | 17 |
| Place of birth | Launceston, Tasmania |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 1 Fleming Terrace, Hunter Street West, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Aunt, Mrs Mary Lewis, No 1 Fleming Terrace, Hunter Street West, Newcastle, New South Wales |
| Enlistment date | 22 November 1915 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, A Company |
| AWM Embarkation Roll number | 23/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 1 November 1917 |