| Regimental number | 2121 |
| Place of birth | Dubbo New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brocklehurst via Dubbo, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs Mary Stephenson, Brocklehurst via Dubbo, New South Wales |
| Enlistment date | 31 March 1916 |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/71/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A42 Boorara on 19 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 54th Battalion |
| Fate | Returned to Australia 8 April 1917 |