| Regimental number | 5162 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 7 Western Street, Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs E F Medcalf, Holborrow Street, Croydon, New South Wales |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 5 September 1919 |
