| Regimental number | 2910 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Labourer |
| Address | Florence Villa, Garners Avenue, Marrickville, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs. E. Small, Florence Garners Avenue, Marrickville, New South Wales |
| Enlistment date | 25 June 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 15 May 1919 |