| Regimental number | 1107 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Boilermaker |
| Address | 26 Church Street, Balmain, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Clara Susan Rosevear, 26 Church Street, Balmain, Sydney, New South Wales |
| Previous military service | AGA |
| Enlistment date | 27 June 1917 |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 14 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 9 November 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia 13 July 1919 |
