| Regimental number | 5210 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Sellheim, Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Sister, Mrs A Melvin, Gill Street, Charters Towers, Queensland |
| Enlistment date | 21 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Train |
| Fate | Returned to Australia 12 July 1919 |
| Date of death | 9 July 1956 |
| Place of burial | Toowoomba Cemetery |
