| Regimental number | 3763 |
| Place of birth | Whitten New South Wales |
| Religion | Church of England |
| Occupation | Printer |
| Address | Fairfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Ilma Kathleen Connery, Liverpool Road, Fairfield, New South Wales |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/62/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 November 1915 |
| Regimental number from Nominal Roll | 3763A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 28 March 1919 |