| Regimental number | 4681 |
| Place of birth | Maryborough Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Myall PO, Myall via Koondrook, Victoria |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Ida May Cameron, 43 Collett Street, Kensington, Melbourne, Victoria |
| Enlistment date | 1 March 1916 |
| Date of enlistment from Nominal Roll | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 10 July 1916 |
