| Regimental number | 3617 |
| Place of birth | Young New South Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Bellbrook, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Margaret Amy Cormack, Bellbrook, Macleay River, New South Wales |
| Previous military service | 16th Infantry |
| Enlistment date | 27 July 1917 |
| Date of enlistment from Nominal Roll | 22 June 1917 |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/73/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 8 July 1919 |