| Regimental number | 4643 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 24 Walter Street, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs G M Woods, 24 Walter Street, Paddington, New South Wales |
| Enlistment date | 23 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 20 April 1919 |
