| Regimental number | 5181 |
| Place of birth | Gunnedah New South Wales |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Bloomfield Street, Gunnedah, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs D Owens, Bloomfield Street, Gunnedah, New South Wales |
| Enlistment date | 17 October 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 8 May 1919 |