| Regimental number | 5479 |
| Place of birth | St Peters New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Carrington Street, Mortdale, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs D Wetherill, Carrington Street, Mortdale, New South Wales |
| Enlistment date | 12 January 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| 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 | 45th Battalion |
| Fate | Returned to Australia 17 October 1916 |
