| Regimental number | 380 |
| Place of birth | Inverell New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Winton, NW, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Harriet Medhurst, Winton, NW, Queensland |
| Enlistment date | 18 April 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 4 |
| AWM Embarkation Roll number | 24/16/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 20 October 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 19 October 1918 |
