| Regimental number | 6711 |
| Place of birth | Wynyard, Tasmania |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Wynyard, Tasmania |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs F Bugg, Wynyard, Tasmania |
| Enlistment date | 18 May 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A56 Palermo on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |
