| Regimental number | 1619 |
| Place of birth | Richmond River New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Nancy Burrows, Grey Street, Glen Innes, New South Wales |
| Enlistment date | 25 January 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 11 January 1918 |
