| Regimental number | 6189 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Shop assistant |
| Address | Canadale, Whaling Road, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother |
| Enlistment date | 14 June 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 13 July 1919 |
| Miscellaneous details (Nominal Roll) | *Noted Battalion unreadable NR |
