| Regimental number | 6495 |
| Place of birth | Quirindi New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Darwin Street, Ryde, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs. A. Glover, Darwin Street, Ryde, New South Wales |
| Enlistment date | 10 July 1916 |
| Date of enlistment from Nominal Roll | 26 June 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 10 March 1918 |