| Regimental number | 4796 |
| Place of birth | Kilkivan Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Maryfield, Kilkivan, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Rose annie Waldock, Maryfield, Kilkivan, Queensland |
| Enlistment date | 20 August 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Train |
| Fate | Returned to Australia 4 July 1919 |
