| Regimental number | 15545 |
| Place of birth | Leichhardt New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Guildford, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E Simister, Guildford Road, Guildford, New South Wales |
| Enlistment date | 5 November 1915 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| 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 | 8th Field Ambulance |
| Fate | Returned to Australia 4 June 1919 |