| Regimental number | 4681 |
| Religion | Church of England |
| Occupation | Flour miller |
| Address | Millthorpe, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Aunt, Sarah R Millthorpe, Millthorpe, New South Wales |
| Enlistment date | 8 January 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 4 May 1917 |
