| Regimental number | 1796 |
| Place of birth | Grafton New South Wales |
| Religion | Church of England |
| Occupation | Postal assistant |
| Address | SouthGrafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Withers, Wharf Street, South Grafton, New South Wales |
| Enlistment date | 21 January 1916 |
| Date of enlistment from Nominal Roll | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/16/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Anzac Battalion, Imperial Camel Corps |
| Fate | Returned to Australia 26 July 1919 |
