| Regimental number | 5465 |
| Place of birth | Maryborough Queensland |
| Religion | Presbyterian |
| Occupation | Grocer |
| Address | Innisfail, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Sister, Mrs E Sim c/o Mr A Black, Rooney Wharf, Cairns, Queensland |
| Enlistment date | 5 February 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 16 June 1919 |
