| Regimental number | 4173 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Donro, Yass, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Robertson, 101 Union Street, Newtown, Sydney, New South Wales |
| Previous military service | 43rd Infantry |
| Enlistment date | 5 October 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 19th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 26 September 1917 |
