| Regimental number | 2025 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Miner |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs Agatha Symmons, Strahan, Tasmania |
| Enlistment date | 30 June 1915 |
| Date of enlistment from Nominal Roll | 29 June 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A68 Anchises on 2 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 28 February 1919 |
