| Regimental number | 59177 |
| Place of birth | Ulverstone England |
| Religion | Church of England |
| Occupation | Carter |
| Address | Beckom, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Friend, P Mitchell, Beckom, New South Wales |
| Enlistment date | 28 December 1917 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 11 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 25 September 1919 |
