| Regimental number | 6463 |
| Occupation | Labourer |
| Address | Nyngen, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs C Brooks, 17 Carnarvon Street, Brunswick, Victoria |
| Enlistment date | 10 May 1916 |
| Date of enlistment from Nominal Roll | 5 May 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 5 April 1918 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
