| Regimental number | 2280 |
| Place of birth | Kiama New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Haldon Street, Lakemba, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Aunt, Mrs Jane Jolly, Haldon Street, Lakemba, Sydney, New South Wales |
| Enlistment date | 14 April 1916 |
| Date of enlistment from Nominal Roll | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 12 June 1919 |
