| Regimental number | 7104 |
| Religion | Church of England |
| Occupation | Painter |
| Address | Albany, Western Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Anna Amelia Mackie, Albany, Western Australia |
| Enlistment date | 23 July 1917 |
| Date of enlistment from Nominal Roll | 4 January 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 12 December 1918 |