| Regimental number | 5767 |
| Place of birth | Bombala New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bingabey, via Cooma, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs C Spicer, Bombala Street, Cooma, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 189 Date: |