| Regimental number | 54651 |
| Religion | Church of England |
| Occupation | Baker |
| Address | Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, W Jackson, Jersey Street, Marrickville, New South Wales |
| Enlistment date | 11 May 1918 |
| Date of enlistment from Nominal Roll | 12 November 1914 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 8 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 16 August 1919 |
