| Regimental number | 1991 |
| Place of birth | Young New South Wales |
| Religion | Presbyterian |
| Occupation | Tailor's presser |
| Address | 4 Dillon Street, Paddington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, 4 Dillon Street, Paddington, Sydney, New South Wales |
| Enlistment date | 22 January 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 13 April 1915 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 19 September 1915 |
| Miscellaneous details (Nominal Roll) | 4th Bn |