| Regimental number | 7364 |
| Place of birth | Orange New South Wales |
| Occupation | Labourer |
| Address | Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mrs. |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 24th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |