| Regimental number | 3213 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 4 Leyton Street, Camperdown, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sarah Carr, 4 Leyton Street, Camperdown, New South Wales |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 19 August 1919 |