| Regimental number | 28989 |
| Place of birth | Forbes New South Wales |
| Religion | Church of England |
| Occupation | Lorry driver |
| Address | Forbes, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs R Sayers, Camp Hill, Forbes, New South Wales |
| Enlistment date | 5 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 3 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | no1 Australian General Hospital |
| Fate | Returned to Australia 31 January 1918 |
| Date of death | 28 May 1961 |
| Place of burial | Woronora Crematorium |