| Regimental number | 3910 |
| Place of birth | Inverell New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Oakhurst Station, Boggabilla, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Sister, Mrs. Mary Roberts, Oliver Street, Inverell, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 19 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 3 March 1919 |