| Regimental number | 4365 |
| Place of birth | Lawrence New South Wales |
| Religion | Presbyterian |
| Occupation | Farm hand |
| Address | Harwood Island, Clarence River, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, A Amos, Harwood Island, Clarence River, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Star of Victoria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |