| Regimental number | 21097 |
| Place of birth | Croydon Queensland |
| Religion | Presbyterian |
| Occupation | Powder monkey |
| Address | Kent Street, Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs M E Ross, Raglan, North Coast Line, Queensland |
| Enlistment date | 25 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | 9th Field Artillery Brigade, 35th Battery |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Divisional Ammunition Column |
| Fate | Returned to Australia 18 October 1917 |
