| Regimental number | 6717 |
| Place of birth | Newtown New South Wales |
| Religion | Methodist |
| Occupation | Butcher |
| Address | Minnamurra Street, Kiama, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs I Canham, Manning Street, Kiama, New South Wales |
| Enlistment date | 6 September 1916 |
| Date of enlistment from Nominal Roll | 29 August 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 5 November 1917 |
