| Regimental number | 1058 |
| Religion | Methodist |
| Occupation | Fireman |
| Address | Main Street, Murrurundi, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Foster Mother, Agnes Raisbeck, Toronto, New South Wales |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, D Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 3 May 1919 |
