| Regimental number | 2621 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Furnaceman |
| Address | Elizabeth Street, Liverpool, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Harriett Brewster, Elizabeth Street, Liverpool, New South Wales |
| Enlistment date | 17 April 1916 |
| Date of enlistment from Nominal Roll | 30 March 1916 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Regimental number from Nominal Roll | 2621A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 27 August 1917 |
