| Regimental number | 5464 |
| Place of birth | Pranella Western Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Modjebing, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs L Wood, Modjebing, Gsr, Western Australia |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 4 May 1917 |
