| Regimental number | 5995 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o Mrs Hancock, Carilla Street, Burwood, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, MrsJ Cannon, C/o Mrs Hancock, Carilla Street, Burwood, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 11 May 1919 |