| Regimental number | 7567 |
| Place of birth | Deniliquin New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs S A Nance, Store Street, Albion, Brisbane, Queensland |
| Enlistment date | 20 December 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/32/3 |
| 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 | 15th Battalion |
| Fate | Effective abroad (still overseas) |
