| Regimental number | 5124 |
| Place of birth | Falia, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cleve, West Coast, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs I Ettridge, Holder Station, West Coast, South Australia |
| Enlistment date | 2 March 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A48 Seang Bee on 18 July 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 23 July 1919 |