| Regimental number | 3630 |
| Place of birth | Christchurch, New Zealand |
| Religion | Presbyterian |
| Occupation | Shop assistant |
| Address | Lismore, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Ruby Zillah Butcher, Ballina Street, Lismore, New South Wales |
| Enlistment date | 10 January 1917 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 6 July 1919 |