| Regimental number | 7219 |
| Place of birth | Charters Towers Queensland |
| Religion | Methodist |
| Occupation | Plumber |
| Address | Richmond, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs I Cork, Felix Street, Charter's Towers, Queensland |
| Enlistment date | 17 November 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 24th Reinforcement |
| AWM Embarkation Roll number | 23/26/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A33 Ayrshire on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 25 November 1917 |
