| Regimental number | 2587 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Teamster |
| Address | Glen Innes PO, Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Annie Thorne, Ross Hill, Inverell, New South Wales |
| Enlistment date | 31 August 1916 |
| Date of enlistment from Nominal Roll | 30 August 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 8 August 1919 |
