| Regimental number | 2875 |
| Place of birth | Taree New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Taree, Manning River, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Miss Jessie Blore, Taree, Manning River, New South Wales |
| Enlistment date | 12 September 1916 |
| Rank on enlistment | Private |
| Unit name | 46th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/63/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 2 January 1919 |
