| Regimental number | 6628 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs L A Stalder, 7 Searle Street, Petersham, Sydney, New South Wales |
| Enlistment date | 18 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 |
| Regimental number from Nominal Roll | 6625 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 4 January 1919 |