| Regimental number | 4800 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Chinese Government employee |
| Address | Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs E Johns, 'Belmont', Wentworth Street, Randwick, New South Wales |
| Enlistment date | 7 August 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | a Corps S |
| Fate | Returned to Australia 23 July 1919 |
