| Regimental number | 4529 |
| Place of birth | Millers Point New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Duke Street, Wooloomooloo, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs L Black, 198 William Street, Darlinghurst, New South Wales |
| Enlistment date | 28 October 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 4 May 1917 |
| Date of death | 4 May 1933 |
| Place of burial | Rookwood Necropolis |
