| Regimental number | 2777 |
| Place of birth | Jericho, Tasmania |
| Religion | Salvation Army |
| Occupation | Salvation Army Officer |
| Address | Croydon, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Maud Mary Burn, Latrobe Terrace, Paddington, Brisbane, Queensland |
| Enlistment date | 14 April 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 23 December 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 8 April 1918 |