| Regimental number | 404 |
| Place of birth | Braidwood New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | 6 Thomas Street, North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Elizabeth Ann Cook, 6 Thomas Street, North Sydney, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 24/08/2018 |
