| Regimental number | 3365 |
| Place of birth | Gatton Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Wondai, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Elizabeth Richters, Wondai, Queensland |
| Enlistment date | 17 October 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion 9th Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Regimental number from Nominal Roll | 3365A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 2 January 1919 |