| Regimental number | 5630 |
| Place of birth | Hurstville New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sutton Cottage, Bellevue Parade, Hurstville, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Rachael Gover Poulton, Sutton Cottage, Bellevue Parade, Hurstville, New South Wales |
| Enlistment date | 20 March 1916 |
| Date of enlistment from Nominal Roll | 20 February 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 15 January 1919 |
