| Regimental number | 6804 |
| Place of birth | Gundagai New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | Waverley, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Pearl Mcdonald, 100 Ruthervan Street, Waverley, Sydney, New South Wales |
| Enlistment date | 25 May 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 22 July 1919 |
