| Regimental number | 6094 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Wood carver |
| Address | Corner Newington Road, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs B N Lewis, Mathew Road, Lidcombe, New South Wales |
| Enlistment date | 14 March 1916 |
| Date of enlistment from Nominal Roll | 7 March 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 23 September 1918 |