| Regimental number | 3099 |
| Place of birth | Broadford Victoria |
| Religion | Salvation Army |
| Occupation | Mill hand |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Margaret Jane Maynard, Oxide Street, off Thomas street, Broken Hill, New South Wales |
| Enlistment date | 12 March 1917 |
| Date of enlistment from Nominal Roll | 10 March 1917 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/60/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 7 February 1919 |
