| Regimental number | 3623 |
| Place of birth | Bundaberg Queensland |
| Religion | Church of England |
| Occupation | School teacher |
| Address | Herbert River, Queensland |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Ellen May Chase, Victoria Estate, Herbert River, Queensland |
| Enlistment date | 9 June 1917 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 4 June 1919 |
