| Regimental number | 4268 |
| Place of birth | Yankalilla, South Australia |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Cardwell Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs Dorcas Jenkins, Cardwell Street, Adelaide, South Australia |
| Enlistment date | 22 September 1915 |
| Date of enlistment from Nominal Roll | 22 September 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 22 July 1917 |