| Regimental number | 5787 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Pipefitter |
| Address | 87 Hordern Street, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs. Rose Hardacre, 87 Hordern Street, Newtown, Sydney, New South Wales |
| Enlistment date | 21 December 1915 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 14 |
| AWM Embarkation Roll number | 22/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Anzac Provost Corps |
| Fate | Returned to Australia 30 January 1918 |