| Regimental number | 969 |
| Place of birth | Burra South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wolfen Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Miss R Summers, Tadio Street, Broken Hill, New South Wales |
| Enlistment date | 30 March 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, C Company |
| AWM Embarkation Roll number | 23/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport Berrima on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 10 June 1916 |
