| Regimental number | 6177 |
| Place of birth | Red Hill England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Union Jack Estate, Morningside, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Florence Willett, Union Jack Estate, Morningside, Queensland |
| Enlistment date | 20 June 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A75 Marathon on 27 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 10 May 1919 |
