| Regimental number | 969 |
| Place of birth | Hay New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Bayliss Street, Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Anna Elizabeth Jourdian, Bayliss Street, Wagga Wagga, New South Wales |
| Previous military service | 16th Battery Australian Field Artillery |
| Enlistment date | 12 March 1915 |
| Date of enlistment from Nominal Roll | 9 March 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, C Company |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Ceramic on 25 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 4 November 1915 |
