| Regimental number | 6877 |
| Place of birth | Essex England |
| Religion | Church of England |
| Occupation | Gardener |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Emma Rivers, Whiteelm, Danbury, England |
| Enlistment date | 10 January 1917 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/40/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 7 July 1919 |