| Regimental number | 2055 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Driver |
| Address | c/o Mrs Shaw, 48 George Street, West Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Miss A Burns, c/o Mrs Shaw, George Street, West Sydney, New South Wales |
| Enlistment date | 1 February 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 5th Reinforcement |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 10 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 13 February 1917 |
