| Regimental number | 6562 |
| Place of birth | Coomba New South Wales |
| Religion | Church of England |
| Occupation | Fisherman |
| Address | Forster, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs A Slater, Cape Hawke, Forster, New South Wales |
| Enlistment date | 6 December 1916 |
| Date of enlistment from Nominal Roll | 29 November 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 6 June 1918 |
