| Regimental number | 3404 |
| Place of birth | Woodhill New South Wales |
| Religion | Methodist |
| Occupation | Motorman |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Violet Agnes Cavell, Samson Street off Lang Street, South Brisbane, Queensland |
| Enlistment date | 3 May 1917 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/59/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Regimental number from Nominal Roll | 3404A |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 12 July 1919 |