| Regimental number | 5200 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labour |
| Address | Flinders Street, Wollongong, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs M R Souter, Flinders Street, Wollongong, New South Wales |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 28 March 1919 |
