| Regimental number | 4761 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Rabbit trapper |
| Address | Harold Street, Guildford, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Buckley, Harold Street, Guildford, New South Wales |
| Enlistment date | 12 October 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 13 April 1919 |
