| Regimental number | 7775 |
| Place of birth | Hillston New South Wales |
| Occupation | Boot maker |
| Address | Woolloomooloo, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs. K. Shields, 148 Duke Street, Woolloomooloo, New South Wales |
| Enlistment date | 16 July 1917 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/19/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 3 January 1919 |
