| Regimental number | 6626 |
| Place of birth | Walgett New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Beaconsfield, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Mother, Mrs E Sherwood, 104 Victoria Street, Beaconsfield, Sydney, New South Wales |
| Enlistment date | 16 January 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 27 August 1917 |
