| Regimental number | 6902 |
| Place of birth | North Adelaide South Australia |
| Religion | Congregational |
| Occupation | Prospector |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Annie Stack, 49 Finnis Street, North Adelaide, South Australia |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 10 December 1918 |