| Regimental number | 3613 |
| Place of birth | Stockton New South Wales |
| Religion | Methodist |
| Occupation | Baker |
| Address | Fifth Street, Boolaroo, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs Margaret Ryan, Fifth Street, Boolaroo, New South Wales |
| Enlistment date | 10 May 1917 |
| Date of enlistment from Nominal Roll | 9 May 1917 |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 1 February 1918 |