| Regimental number | 53054 |
| Place of birth | Sunderland England |
| Religion | Church of England |
| Occupation | Painter |
| Address | 36 Douglas Street, Spring Hill, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs C A Mewburn, 36 Douglas Street, Spring Hill, Brisbane, Queensland |
| Enlistment date | 24 January 1918 |
| Date of enlistment from Nominal Roll | 23 January 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 2 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 4 July 1919 |