| Regimental number | 5773 |
| Place of birth | Maryvale New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maryvale PO, Maryvale, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Taylor, Maryvale, New South Wales |
| Enlistment date | 1 January 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A46 Clan Macgillivray on 3 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 5 September 1919 |
