| Regimental number | 6172 |
| Place of birth | Lancashire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 21 Sussex Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs Lily Elliott, 16 Trade Street, Newtown, New South Wales |
| Enlistment date | 4 July 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 16 March 1919 |