| Regimental number | 1525 |
| Place of birth | Lithgow New South Wales |
| Religion | Church of England |
| Occupation | Moulder |
| Address | Hayley Street, Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Agnes Brockbank, Hayley Street, Lithgow, New South Wales |
| Enlistment date | 11 July 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 8 April 1919 |
