| Regimental number | 5662 |
| Place of birth | Fremantle, Western Australia |
| Religion | Congregational |
| Occupation | Labourer |
| Address | Carrington Street, Palmyra East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A M Brown, Carrington Street, Palmyra, East Fremantle, Western Australia |
| Enlistment date | 9 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A29 Suevic on 6 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Employment Company |
| Fate | Returned to Australia 15 February 1918 |
