| Regimental number | 6617 |
| Religion | No religion |
| Occupation | Bush labourer |
| Address | Winton, Queensland |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Friend, Mr L Paull C/o Mr W Thomson, Saddle, Winton, Queensland |
| Enlistment date | 10 April 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 11 January 1918 |
