| Regimental number | 3759 |
| Place of birth | Lingfield England |
| Religion | Congregational |
| Occupation | Storeman |
| Address | South Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Ethel Annie Withall, Montague Road, South Brisbane, Queensland |
| Enlistment date | 9 June 1917 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 12 July 1919 |