| Regimental number | 5666 |
| Place of birth | Canulbungla New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Roslyn, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Miss M P Copeland, Roslyn, New South Wales |
| Enlistment date | 30 November 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Corps Details |
| Fate | Returned to Australia 20 April 1919 |
