| Regimental number | 6633 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Junee, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Aunt, Mrs Leverington, 244 Harrow Road, Paddington London, England |
| Enlistment date | 13 November 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 23 September 1918 |
| Date of death | 21 March 1963 |
| Place of burial | Northern Suburbs Crematorium |
