| Regimental number | 6606 |
| Place of birth | Camden Haven New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fernmount, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J Pacey, 411 Harris Street, Ultimo, New South Wales |
| Enlistment date | 15 December 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 12 June 1919 |
