| Regimental number | 167 |
| Place of birth | Mullengandra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Thurgoona, Albury, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | George Petts, Thurgoona, Albury, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, A Company |
| AWM Embarkation Roll number | 23/20/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 55th Battalion |
| Recommendations (Medals and Awards) |
Meritorious Service Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 110 Date: |