| Regimental number | 16647 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Bookkeeper |
| Address | Newtown, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E L McKenzie, 363 King Street, Newtown, New South Wales |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 18 January 1919 |
