| Regimental number | 4901 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Blacksmiths striker |
| Address | Burns Street, Campsie, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs C Roughley, Belmore, Sydney, New South Wales |
| Enlistment date | 28 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 4 January 1919 |
