| Regimental number | 3778 |
| Place of birth | Gladstone South Australia |
| Religion | Methodist |
| Occupation | Foreman |
| Address | Ethel Street, Forestville, South Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Miss M R Yates, Ethel Street, Forestville, South Australia |
| Enlistment date | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on 2 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Ordnance Corps |
| Fate | Returned to Australia 5 April 1919 |
