| Regimental number | 6882 |
| Place of birth | Bendigo Victoria |
| Religion | Church of England |
| Occupation | Cook |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Miss Susan Sadler, c/o J W Burke, Casino, New South Wales |
| Enlistment date | 23 March 1917 |
| Date of enlistment from Nominal Roll | 24 March 1917 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 25 November 1917 |
