| Regimental number | 5069 |
| Religion | Church of England |
| Occupation | Groom |
| Address | Murwillumbah, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss Harriet Mullins, Coombehurst, Landsbourne Road, Bournemouth, England |
| Enlistment date | 22 May 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 28 July 1919 |
