| Regimental number | 5194 |
| Place of birth | Bracken Wales |
| Religion | Methodist |
| Occupation | Splicer |
| Address | Fern Hill, Tarrawanna, via Corrimal, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Mrs C Price, Fern Hill, Tarrawanna via Corrimal, New South Wales |
| Enlistment date | 4 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 4 December 1918 |
| Other details | Suffered serious head wounds while serving in France |
