| Regimental number | 1104 |
| Place of birth | Bathurst New South Wales |
| Religion | Presbyterian |
| Occupation | Tailor's cutter |
| Address | 313 George Street, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mrs Isabel Ward, 313 George Street, Bathurst, New South Wales |
| Enlistment date | 8 October 1914 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, G Company |
| AWM Embarkation Roll number | 23/18/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A19 Afric on 18 October 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 10 July 1916 |
