| Regimental number | 5862 |
| Place of birth | Rockley New South Wales |
| Religion | Church of England |
| Occupation | Fitter |
| Address | 40 Dudley Street, West Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Annie Nightingale, 350 Latrobe Street, Melbourne, Victoria |
| Enlistment date | 6 June 1916 |
| Date of enlistment from Nominal Roll | 14 May 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 3 April 1919 |
