| Regimental number | 6175A |
| Religion | Baptist |
| Occupation | Farmer |
| Address | Bouraville, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Sarah Broadfoot, Bouraville, North Coast, New South Wales |
| Enlistment date | 24 May 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 5 November 1917 |