| Regimental number | 1158 |
| Place of birth | Mintaro South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Florence Street, Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Amy Myria Montgomery, Florence Street, Port Pirie, South Australia |
| Enlistment date | 5 September 1914 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/27/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT Themistocles on 7 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 7 September 1915 |
