| Regimental number | 7086 |
| Place of birth | Hawkesbury New South Wales |
| Religion | Church of England |
| Occupation | Packer |
| Address | 74 Vic Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs Miers, 43 Pitt Street, Redfern, Sydney, New South Wales |
| Enlistment date | 3 October 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 13 July 1919 |
