| Regimental number | 20063 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Boree Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs E A Siggers, 16 Castleton Road, Goodmayes, Essex, England |
| Enlistment date | 15 October 1917 |
| Date of enlistment from Nominal Roll | 18 June 1915 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Gaika on 6 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |
