| Regimental number | 3365 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Concord, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Emily Jane Bretnall, Concord Road, Concord, New South Wales |
| Enlistment date | 16 December 1916 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/73/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Regimental number from Nominal Roll | 3365A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 7 February 1919 |