| Regimental number | 3662 |
| Place of birth | Richmond New South Wales |
| Religion | Methodist |
| Occupation | Station hand |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Florence Slade, 88 City Road, Sydney, New South Wales |
| Previous military service | 33rd Infantry |
| Enlistment date | 23 July 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Work Party |
| Fate | Returned to Australia 13 January 1919 |
