| Regimental number | 6529 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Fitter's assistant |
| Address | Patterson Street, Mount Morgan, Queensland |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs J Mignot, Patterson Street, Mount Morgan, Queensland |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 22 August 1919 |
