| Regimental number | 6630 |
| Place of birth | Parramatta New South Wales |
| Religion | Salvation Army |
| Occupation | Grocer |
| Address | Kempsey, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Aunt, Mrs Aileen Quinn, Bellinger River, New South Wales |
| Enlistment date | 5 January 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Effective abroad (still overseas) |