| Regimental number | 3405 |
| Place of birth | Grafton New South Wales |
| Religion | Church of England |
| Occupation | Wood getter |
| Address | Fredericktown, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs Elizabeth Shepherd, Fredricktown, Macleay River, New South Wales |
| Enlistment date | 6 December 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/62/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 8 April 1918 |