| Regimental number | 5637 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Lynwood, Parkes, New South Wales |
| Marital status | Widower |
| Age at embarkation | 41 |
| Next of kin | Brother-in-Law, Oliver White, Lynwood, Parkes, New South Wales |
| Enlistment date | 26 February 1916 |
| Date of enlistment from Nominal Roll | 2 March 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 19 October 1918 |
