| Regimental number | 6570 |
| Religion | Congregational |
| Occupation | Farmer |
| Address | State School, Southern Cross, Western Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs Muriel Agnes Nicholls, State School, Southern Cross, Western Australia |
| Enlistment date | 18 April 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 13 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 1 February 1918 |