| Regimental number | 2627 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Motor driver |
| Address | Bli Bli via Nambour, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Anne Nuttall, Bli Bli PO, Bli Bli via Nambour, Queensland |
| Enlistment date | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 12 June 1919 |