| Regimental number | 649 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 41 |
| Next of kin | Mother, Mrs Elizabeth Baker, Diamond Swamp via Tarana, New South Wales |
| Enlistment date | 3 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 12, Reinforcement 11 |
| AWM Embarkation Roll number | 24/17/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 9 December 1918 |
