| Regimental number | 3453 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Hairdresser |
| Address | Broadmeadow Road, Broadmeadow, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Victoria Roach, Broadmeadow Road, Broadmeadow, New South Wales |
| Enlistment date | 9 January 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Regimental number from Nominal Roll | 3453A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 8 July 1919 |