| Regimental number | 7650 |
| Place of birth | Corowa New South Wales |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | Corowa, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Amy Wise, South Corowa, New South Wales |
| Enlistment date | 5 January 1916 |
| Date of enlistment from Nominal Roll | 20 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Signal Troop 3, Reinforcement 16 |
| AWM Embarkation Roll number | 22/21/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Divisional Signal Company |
| Fate | Returned to Australia 20 May 1919 |
