| Regimental number | 6567 |
| Religion | Church of England |
| Occupation | Driver |
| Address | 20 Briggs Street, Camperdown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Sister, Mrs. C. Dagg, 20 Briggs Street, Camperdown, Sydney, New South Wales |
| Enlistment date | 3 May 1916 |
| Date of enlistment from Nominal Roll | 26 April 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 31 January 1918 |