| Regimental number | 2369 |
| Place of birth | Deniliquin New South Wales |
| Religion | Methodist |
| Occupation | Fireman |
| Address | Cooma, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Mary Constance Northcott, Fairmount Street, Lakemba, New South Wales |
| Enlistment date | 21 November 1917 |
| Date of enlistment from Nominal Roll | 3 November 1917 |
| Rank on enlistment | Private |
| Unit name | October 1917 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 22 December 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | General Reinforcements, Railway Companies |
| Fate | Returned to Australia 6 April 1918 |