| Regimental number | 4796 |
| Place of birth | Bellingen New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Thora, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, T Lean, Thora, Bellinger River, New South Wales |
| Enlistment date | 8 November 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Motor Transport Section |
| Fate | Returned to Australia 22 July 1919 |
