| Regimental number | 59643 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Blacksmith's striker |
| Address | Orange East, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E Tandy, Autumn Street, Orange East, New South Wales |
| Enlistment date | 19 June 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 13 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 1 August 1919 |
