| Regimental number | 5671 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Slater |
| Address | 119 Francis Street, Leichhardt, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs. E. Church, Parramatta Road, Lewisham, New South Wales |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 20 April 1919 |
