| Regimental number | 5783 |
| Place of birth | Mailer Flat Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mailor's Flat, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, G Watts, Mailor's Flat, Victoria |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Regimental number from Nominal Roll | 5873 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 23 July 1919 |