| Regimental number | 7407 |
| Place of birth | Busselton Western Australia |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Mooliabeenee, Milland Railway, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs A Randall Martin, Mooliabeenee, Midland Railway, Western Australia |
| Enlistment date | 17 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Ormonde on 13 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Company, Australian Army Service Corps |
| Fate | Returned to Australia 23 July 1919 |
