| Regimental number | 5043 |
| Religion | Baptist |
| Occupation | Groom |
| Address | Audley Street, Narrandera, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Victoria Been, Audley Street, Narrandera, New South Wales |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 4 May 1917 |