| Regimental number | 1216 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Turrell Street, Plattsburg, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Ellen Mary Penman, Turrell Street, Plattsburg, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Lance Corporal |
| Unit name | 35th Battalion, D Company |
| AWM Embarkation Roll number | 23/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 11 May 1919 |
