| Regimental number | 4250 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Grazier |
| Address | South Wolumla, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs D Randall, South Wolumla, New South Wales |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 31 May 1919 |
