| Regimental number | 2221 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Stockman |
| Address | Bowen, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Nankervis, Friezland via Cloncurry, Queensland |
| Enlistment date | 27 March 1916 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 47th Battalion |
| Fate | Returned to Australia 28 November 1917 |
