| Regimental number | 6552 |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | Sheridan Street, Gundagai, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs A V Outram, Woomargana, Holbrook, New South Wales |
| Enlistment date | 30 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 18 October 1917 |