| Regimental number | 4756 |
| Place of birth | Ipswich Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Miss M A Campbell, Lowry Street, North Ipswich, Queensland |
| Enlistment date | 1 October 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 5 April 1915 |