| Regimental number | 6565 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Greengrocer |
| Address | 26 Chapell Street, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs. H. Shirley, 26 Chapell Street, Marrickville, New South Wales |
| Enlistment date | 16 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 1 July 1919 |