| Regimental number | 2169 |
| Place of birth | Clarence Park South Australia |
| Religion | Methodist |
| Occupation | Horse driver |
| Address | Clarence River, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Martha Yeates, c/o Mrs R Vincent, South Road, Edwardstown, South Australia |
| Enlistment date | 3 July 1916 |
| Date of enlistment from Nominal Roll | 3 June 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Regimental number from Nominal Roll | 2169A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 24 December 1918 |