| Regimental number | 5180 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 55 Clarendon Road, Stanmore, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs E McGillivray, 55 Clarendon Road, Stanmore, New South Wales |
| Enlistment date | 8 September 1915 |
| Date of enlistment from Nominal Roll | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 4 May 1917 |
| Miscellaneous details (Nominal Roll) | 1st Bn |
