| Regimental number | 21176 |
| Place of birth | Eden New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | Saxby Downs, Nwqld |
| Marital status | Widower |
| Age at embarkation | 44 |
| Next of kin | Daughter, Mrs N A Fraser, Bombala, New South Wales |
| Enlistment date | 21 December 1915 |
| Date of enlistment from Nominal Roll | 2 December 1915 |
| Rank on enlistment | Corporal |
| Unit name | 9th Field Artillery Brigade, 36th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia 25 March 1919 |
