| Regimental number | 691 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Machinist |
| Address | Waverley Park, Banyo, Sandgate Line, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Martha Bridget Mees, Waverley Park, Banyo, Sandgate Line, Queensland |
| Enlistment date | 3 January 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 7, Reinforcement 12 |
| AWM Embarkation Roll number | 24/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 19 October 1918 |