| Regimental number | 6796 |
| Place of birth | Maclean New South Wales |
| Religion | Church of England |
| Occupation | Pugilist |
| Address | Ulmarra, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Nancy Violet Mitchell, Ulmarra, New South Wales |
| Enlistment date | 23 April 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 9 December 1918 |
