| Regimental number | 5212 |
| Place of birth | Bourke New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Post Office, Brewarrina, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs L Ferguson, 101 Hereford Street, Forest Lodge, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Died of disease |
| Place of burial | Ste Marie Cemetery (Division 62, Plot I, Row L, Grave No. 5), Le Havre, France |
| Panel number, Roll of Honour, Australian War Memorial | 42 |