| Regimental number | 4365 |
| Place of birth | Narrabri New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 165 George Street, Erskineville, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs E M Breese, 165 George Street, Erskineville, New South Wales |
| Enlistment date | 11 October 1915 |
| Date of enlistment from Nominal Roll | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 18 January 1919 |
