| Regimental number | 6763 |
| Place of birth | London England |
| Religion | Church of Christ |
| Occupation | Labourer |
| Address | Mildura, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs Julia Brooks, 8 Molesworth Buildings, Spitalfields London East, England |
| Enlistment date | 16 November 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Corps Details |
| Fate | Returned to Australia 10 April 1919 |
