| Regimental number | 4143 |
| Place of birth | Macleay River New South Wales: POE Sydney New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Johns Road, Prospect, South Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Sister, Mrs S Lindsay, Johns Road, Prospect, South Australia |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 11 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 4 May 1917 |
