| Regimental number | 4991 |
| Place of birth | Leichardt New South Wales |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | 36 Carey Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J A Cordner, 36 Carey Street, Leichhardt, New South Wales |
| Previous military service | 31st Infantry |
| Enlistment date | 30 October 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 12 June 1919 |
