| Regimental number | 5164 |
| Religion | Church of England |
| Occupation | Horse trainer |
| Address | 28 Allen Street, Pyrmont, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Meredyth, 20 Allen Street, Pyrmont, New South Wales |
| Enlistment date | 4 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 | 5th Division Headquarters |
| Fate | Returned to Australia 2 June 1919 |
