| Regimental number | 5624 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Coachbuilder |
| Address | Wentworth, Leicester Avenue, Strathfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Annie Newell, Wentworth, Leicester Avenue, Strathfield, New South Wales |
| Enlistment date | 7 February 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Auxiliary Hospital |
| Fate | Returned to Australia 6 June 1918 |
