| Regimental number | 6861 |
| Place of birth | Glen Innes New South Wales |
| Religion | Baptist |
| Occupation | Carpenter |
| Address | Blackall Range, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Margaret Thoady Roderick, Conondale, Blackall Range, Queensland |
| Enlistment date | 22 January 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 1 November 1917 |
