| Regimental number | 8400 |
| Place of birth | Sydney New South Wales |
| Religion | Baptist |
| Occupation | Carpenter |
| Address | 23 Day Street, Leichhardt, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Henrietta Small, 20 Annandale Street, Annandale, Sydney, New South Wales |
| Previous military service | 5th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 3, Reinforcement 13 |
| AWM Embarkation Roll number | 26/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A36 Boonah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |