| Regimental number | 2680 |
| Place of birth | Basingstoke England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | 126 Albany Road, Stanmore, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Agnes Willis, 126 Albany Road, Stanmore, Sydney, New South Wales |
| Enlistment date | 26 September 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Regimental number from Nominal Roll | 268A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Field Ambulance |
| Fate | Returned to Australia 1 November 1917 |
