| Regimental number | 212 |
| Place of birth | Lismore New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs Mona Bridge, Keen Street, Lismore, New South Wales |
| Enlistment date | 18 November 1915 |
| Date of enlistment from Nominal Roll | 18 November 1915 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, A Company |
| AWM Embarkation Roll number | 23/59/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 9 February 1919 |