| Regimental number | 747 |
| Place of birth | Gulgong New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Denison Street, Mudgee, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | W G Randall, Denison Street, Mudgee, New South Wales |
| Enlistment date | 2 June 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, B Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 20 May 1919 |
