| Regimental number | 6172 |
| Place of birth | Hartley Vale New South Wales |
| Religion | Presbyterian |
| Occupation | Miner |
| Address | Coledale, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ada Ross, Coledale, New South Wales |
| Enlistment date | 27 May 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Regimental number from Nominal Roll | 6172A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia 7 July 1919 |