| Regimental number | 7110 |
| Place of birth | Gympie Queensland |
| Religion | Methodist |
| Occupation | Plumber |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs H Theodore, Duke Street, Gympie, Queensland |
| Enlistment date | 21 September 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Mechanical Transport Company |
| Fate | Returned to Australia 6 September 1919 |
