| Regimental number | 2047 |
| Place of birth | Hamps, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Renmark, S |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Friend, Mrs Jane Victoria Stacey, late of Lower Alfred Street, Southampton, England |
| Enlistment date | 28 April 1916 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 5 November 1917 |