| Regimental number | 5214 |
| Place of birth | Mintaro South Australia |
| Religion | Methodist |
| Occupation | Blacksmith |
| Address | Opp Bucks Head Hotel, Panyneham Road, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, M Stephen, Opp Bucks Head Hotel, Panyneham Road, Adelaide, South Australia |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 29 June 1917 |