| Regimental number | 4817 |
| Place of birth | Hastings England |
| Religion | Church of England |
| Occupation | Joiner |
| Address | Belmont, Queensland |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs. Esther Harriet Bumstead, Creek Road, Belmont, Queensland |
| Enlistment date | 17 November 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 19 October 1917 |