| Regimental number | 6545 |
| Place of birth | Rands England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Oakvale, Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | friend, Mrs F Bates, 194 Belmont Street, Alexandria, Sydney, New South Wales |
| Enlistment date | 5 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 19 April 1919 |
