| Regimental number | 21404 |
| Place of birth | Albion Queensland |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Camdon Street, Albion, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs P Ricketts, Camdon Street, Albion, Brisbane, Queensland |
| Enlistment date | 12 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/36A/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 3rd Divisional Ammunition Column |
| Fate | Returned to Australia 12 June 1919 |