| Regimental number | 3212 |
| Place of birth | Bega New South Wales |
| Religion | Church of England |
| Occupation | Traveller |
| Address | Dulwich Hill, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Ada Emily Neilley, 176 Wardell Road, Dulwich Hill, New South Wales |
| Enlistment date | 26 September 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 11 January 1918 |
