| Regimental number | 2403 |
| Place of birth | Kaniva Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mungallala, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Elizabeth Treasure, Mungallala, West Line, Queensland |
| Enlistment date | 27 March 1916 |
| Date of enlistment from Nominal Roll | 7 September 1914 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 8 October 1915 |