| Regimental number | 6563 |
| Place of birth | Jarrahdale, Western Australia |
| Religion | Methodist |
| Occupation | Swamper |
| Address | Jarrahdale Bush Landing, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Harmer, No 4 Mill, Jarrahdale, Western Australia |
| Enlistment date | 26 October 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 21 December 1918 |
