| Regimental number | 28805 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Machine driller |
| Address | 'Tyrone', Woolwich Road, Woolwich, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs E E Taylor, 'Tyrone', Woolwich Road, Woolwich, Sydney, New South Wales |
| Enlistment date | 27 April 1916 |
| Date of enlistment from Nominal Roll | 11 May 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 1 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 14 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 6 January 1919 |