| Regimental number | 6107 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Baker |
| Address | Hassall Street, Harris Park, Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs Martha Jane Marshall, Hassall Street, Harris Park, Parramatta, New South Wales |
| Enlistment date | 12 September 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 16 June 1919 |
