| Regimental number | 6561 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Stuart Town, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Friend, Mr. G. H. Chappel, Theosophical Society, Hunter Street, Sydney, New South Wales |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 4 May 1917 |
