| Regimental number | 6776 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Wire worker |
| Address | 35 Thompson Street, Drummoyne, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs J E Mathers, 56 Reynolds Street, Balmain, New South Wales |
| Enlistment date | 24 July 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 22 August 1919 |