| Regimental number | 57634 |
| Place of birth | Newcastle England |
| Religion | Presbyterian |
| Occupation | Farmer |
| Address | Runcorn, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs M Crisp, Runcorn, Queensland |
| Enlistment date | 3 December 1917 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 22 August 1919 |
