| Regimental number | 6414 |
| Place of birth | Rylstone New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Rylstone, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs A Writer, Nanango, Queensland |
| Enlistment date | 13 September 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 5 March 1919 |
