| Regimental number | 6369 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Little Billabong, via Holbrook, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs. L. Small, Terminus Street, Liverpool, New South Wales |
| Enlistment date | 25 September 1915 |
| Date of enlistment from Nominal Roll | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 31 May 1919 |
