| Regimental number | 57665 |
| Place of birth | South Hampton England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Moor's Pocket, Tivoli, Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Lock, Moor's Pocket, Tivoli, Ipswich, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st ANTC |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death |