| Regimental number | 288 |
| Place of birth | Picton New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Flinders Street, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Francis Norman, Elizabeth Street, Camden, New South Wales |
| Enlistment date | 11 March 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 3 |
| AWM Embarkation Roll number | 24/17/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 4 June 1919 |
