| Regimental number | 6684 |
| Place of birth | Guy Fawkes New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Dorrigo, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs S Charters, Newrowna PO, Newrowna, New South Wales |
| Enlistment date | 13 December 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 26 August 1917 |
