| Regimental number | 6807 |
| Place of birth | Esk Queensland |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Cloncurry, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs M Anderson, Bowen, Queensland |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A74 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 16 June 1919 |
