| Regimental number | 2793 |
| Place of birth | Temora New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mitchell, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Elizabeth Carter, St George, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 41st Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/58/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 76 Date: |