| Regimental number | 5375 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Aunt, Mrs Susan Hamilton, Alexander Street, Prospect, South Australia |
| Previous military service | 31st Australian Army Medical Corps |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 21 December 1917 |