| Regimental number | 6863 |
| Place of birth | Burmingham England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Ingleburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Mary Ann Lea, Ingleburn, New South Wales |
| Enlistment date | 13 June 1917 |
| Date of enlistment from Nominal Roll | 12 June 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 26 September 1917 |
