| Regimental number | 5071 |
| Place of birth | Auckland New Zealand |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Sydney, New South Wales |
| Marital status | Married (Separated) |
| Age at embarkation | 30 |
| Next of kin | Sister, Miss Mabel Nixon, The Pines Hospital, Avoca Street, Randwick, New South Wales |
| Enlistment date | 28 April 1917 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 23 September 1919 |
