| Regimental number | 5066 |
| Place of birth | Manchester England |
| Religion | Baptist |
| Occupation | Farmer |
| Address | Woombye, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs. Alice Eliza Merritt, Woombye, North Coast Line, Queensland |
| Enlistment date | 12 May 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 11 January 1918 |
