| Regimental number | 6629 |
| Place of birth | Stratford England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | GPO Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, NSW Mrs L Donnelly, Cranbury Road, East Leigh Southampton, England |
| Enlistment date | 18 December 1916 |
| Date of enlistment from Nominal Roll | 13 December 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| 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 | 3rd Machine Gun Battalion |
| Fate | Discharged 21 February 1919 |
