| Regimental number | 4402 |
| Place of birth | Blackall Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 36 Flinders Street, Darlinghurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | No relations living |
| Enlistment date | 15 July 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 3 May 1919 |
