| Regimental number | 2622 |
| Place of birth | Nabari New South Wales |
| Religion | Church of England |
| Occupation | Artesian well borer |
| Address | Winton, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Maud Oldham, Mitchell PO, Mitchell, Queensland |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 1 August 1919 |