| Regimental number | 5066 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | 8 Bowen Terrace, East Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs F McConnell, 8 Bowen Terrace, East Orange, New South Wales |
| Enlistment date | 30 December 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 21 April 1918 |
