| Regimental number | 16764 |
| Place of birth | Melbourne, Victoria |
| Religion | Congregational |
| Occupation | Government orchardist |
| Address | Kybybolite, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E G Leishman, Kybybolite, South Australia |
| Enlistment date | 12 February 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 16 June 1919 |
