| Regimental number | 2921 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Mill hand |
| Address | Eleanor Street, East Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Grandparent, E Rodgers, Eleanor Street, Goulburn, New South Wales |
| Enlistment date | 23 June 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/18/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 5 September 1919 |