| Regimental number | 4100 |
| Place of birth | Ballina New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 46 Lower Campbell Street, Surrey Hills, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Mary Rountree, 41 Mackey Street, Surry Hills, New South Wales |
| Enlistment date | 3 May 1916 |
| Date of enlistment from Nominal Roll | 19 April 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 17 March 1917 |
