| Regimental number | 5436 |
| Place of birth | Port Lincoln South Australia |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Port Victoria, South Australia |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Friend, Mr A C Edson, Port Victoria Yorkes Peninsula, South Australia |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 5 November 1917 |
