| Regimental number | 6479 |
| Place of birth | Chatsworth New South Wales |
| Religion | Presbyterian |
| Occupation | Machinist |
| Address | Grafton, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J Amos, Alice Street, Grafton, New South Wales |
| Enlistment date | 29 May 1916 |
| Date of enlistment from Nominal Roll | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 2 June 1919 |
