| Regimental number | 5045 |
| Place of birth | Mitcham South Australia |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Semaphore, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs Marjorie Harrold, Union Street, Semaphore, South Australia |
| Enlistment date | 17 March 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 13th Reinforcement |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board A45 Bulla on 24 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 7 July 1919 |