| Regimental number | 3630 |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | Off Millchester Road, Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Annie Jane Summers off Millchester Road, Charters Towers, Queensland |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Returned to Australia 20 July 1919 |