| Regimental number | 57766 |
| Place of birth | Berry New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | South Murwillumbah, Tweed River, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs E M Taylor, South Murwillumbah, Tweed River, New South Wales |
| Enlistment date | 6 May 1918 |
| Date of enlistment from Nominal Roll | 16 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 10 December 1918 |
