| Regimental number | 6787 |
| Place of birth | Northumberland England |
| Religion | Methodist |
| Occupation | Rigger |
| Address | Wellbank Street, Concord, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E C Mears, C/o Mrs Barnwell, Queens Road, Five Dock, Sydney, New South Wales |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 6 July 1919 |
