| Regimental number | 4049 |
| Place of birth | Ourimbah New South Wales |
| Religion | Church of England |
| Occupation | Timber getter |
| Address | Liverpool, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs G James, Wyoming, Manning River, New South Wales |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A31 Ajana on 22 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 10 September 1917 |
