| Regimental number | 16367 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Valley, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Miss A Clague, 167 Warry Street, Valley, Queensland |
| Enlistment date | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | January 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 20 June 1919 |
