| Regimental number | 6646 |
| Place of birth | Grange South Australia |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs M K Tilley, Kelmscott, Western Australia |
| Enlistment date | 19 October 1917 |
| Date of enlistment from Nominal Roll | 19 October 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Effective abroad (still overseas) |
