| Regimental number | 1973 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Works overseer |
| Address | Nicholson Street, Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Mary Taylor, Nicholson Street, Goulburn, New South Wales |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 11 January 1918 |