| Regimental number | 2117 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | PO Dunedoo, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs N Dean, Post Office, Dunedoo, New South Wales |
| Enlistment date | 30 March 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Mcgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 26 September 1917 |