| Regimental number | 7109 |
| Place of birth | Birmingham England |
| Religion | Methodist |
| Occupation | Bootmaker |
| Address | Helidon, Queensland |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs F Pullinger, Helidon, Queensland |
| Enlistment date | 11 September 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 1 April 1919 |
