| Regimental number | 7761 |
| Place of birth | Whaddon England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Westwood, Queensland |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Friend, Miss M Clay, Westwood, Central Queensland |
| Enlistment date | 8 August 1917 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/32/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 1 July 1919 |
