| Regimental number | 2653 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bellbird via Cessnock, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Tattersall, Bellbird via Cessnock, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Discharged |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |