| Regimental number | 6615 |
| Place of birth | Wallsend New South Wales |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Adamstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs E Syme, Union Street, Adamstown, Newcastle, New South Wales |
| Enlistment date | 13 November 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 11 December 1918 |
