| Regimental number | 67369 |
| Religion | Church of England |
| Occupation | Cook |
| Address | People's Palace, Pitt Street, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J Carey, 201 Alfred Street, North Sydney, New South Wales |
| Enlistment date | 5 September 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Fate | No details of fate entered on Nominal Roll |