| Regimental number | 18090 |
| Place of birth | Footscray Victoria |
| Religion | Salvation Army |
| Occupation | Timber cutter |
| Address | Corranbong, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Worsnop, Cooranbong, New South Wales |
| Enlistment date | 5 February 1917 |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 5 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 22 August 1919 |
