| Regimental number | 6904A |
| Religion | Methodist |
| Occupation | Boot trade |
| Address | Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs E R Williams, 37 Wellington Street, South Richmond, Victoria |
| Enlistment date | 24 April 1917 |
| Date of enlistment from Nominal Roll | 23 July 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 7 June 1918 |