| Regimental number | 6956 |
| Place of birth | Basle Switzerland |
| Religion | Church of England |
| Occupation | Poultry farmer |
| Address | Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, Miss Ethel Smith, Wagga Wagga, New South Wales |
| Enlistment date | 12 June 1917 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Fate | No details of fate entered on Nominal Roll |