| Regimental number | 6807 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Brass finisher |
| Address | c/o Mrs Smallwood, Ocean Street, West Kogarah, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | CofE, Miss B. Thompson, c/o Mrs Smallwood, West Kogarah, Sydney, New South Wales |
| Enlistment date | 18 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia 19 June 1919 |