| Regimental number | 1630 |
| Place of birth | Hampshire England |
| Religion | Baptist |
| Occupation | Miner |
| Address | C/o Mrs Bertha N Hooper, Wynter Street, Junee, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs Bertha N Hooper, Wynter Street, Junee, New South Wales |
| Enlistment date | 22 May 1916 |
| Date of enlistment from Nominal Roll | 25 February 1916 |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 4 May 1917 |