| Regimental number | 636 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Aunt, Miss May Ross, 22 Gleddow Street, Inveresk, Launceston, Tass |
| Enlistment date | 6 May 1916 |
| Date of enlistment from Nominal Roll | 17 June 1916 |
| Rank on enlistment | Private |
| Unit name | 40th Battalion, C Company |
| AWM Embarkation Roll number | 23/57/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A35 Berrima on 1 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 31 January 1918 |
