| Regimental number | 4534 |
| Place of birth | Codrington New South Wales |
| Religion | Church of Christ |
| Occupation | Engine driver |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Miss A M Matheson, Danley Street, Lismore, New South Wales |
| Enlistment date | 13 August 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia 10 July 1915 |
