| Regimental number | 5971 |
| Place of birth | Orange New South Wales |
| Religion | Church of England |
| Occupation | Cab driver |
| Address | 11 Llewellyn Street, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs S Andrew, 11 Llewellyn Street, Marrickville, Sydney, New South Wales |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 4 May 1917 |