| Regimental number | 5456 |
| Place of birth | Lancashire England |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Teven near Ballina, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Friend, Mr G W Brewer, c/o Mr Kedzley, Tyagarah, New South Wales |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Veterinary Hospital |
| Fate | Returned to Australia 31 July 1918 |
