| Regimental number | 6789 |
| Religion | Church of England |
| Occupation | Motor mechanic and carpenter |
| Address | Queen's Road, Connells Point, Hurstville, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs F Riches, Queen's Road, Connells Point, Hurstville, New South Wales |
| Enlistment date | 28 August 1916 |
| Date of enlistment from Nominal Roll | 4 August 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 22 July 1917 |