| Regimental number | 5407 |
| Place of birth | Charters Towers Queensland |
| Religion | Baptist |
| Occupation | Miner |
| Address | Boolaroo, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs B J Manbey, Boolaroo, Newcastle, New South Wales |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A4 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 20 January 1919 |
