| Regimental number | 15650 |
| Place of birth | Newcastle New South Wales |
| Religion | Methodist |
| Occupation | Mill hand |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs F Williams, Gossan Stret, off William Street, Broken Hill, New South Wales |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A16 Port Melbourne on 23 October 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia 21 June 1919 |
