| Regimental number | 504 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Tweed River South, Murwillumbah, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Isabella Campbell, Tweed River South, Murwillumbah, New South Wales |
| Enlistment date | 21 September 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 15, Reinforcement 8 |
| AWM Embarkation Roll number | 24/20/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Machine Gun Company |
| Fate | Returned to Australia 21 July 1917 |