| Regimental number | 5417 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Moggil, via Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs. E. Roberts, Pittsworth, Queensland |
| Enlistment date | 27 December 1917 |
| Date of enlistment from Nominal Roll | 8 December 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Divisional Signal Company |
| Fate | Returned to Australia 5 July 1919 |
