| Regimental number | 7117 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Queanbeyan, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Elizabeth Robertson, 345 Liverpool Street, Darlinghurst, Sydney, New South Wales |
| Enlistment date | 7 August 1917 |
| Date of enlistment from Nominal Roll | 5 March 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 20 November 1918 |
