| Regimental number | 5368 |
| Place of birth | Charters Towers Queensland |
| Religion | Church of England |
| Occupation | Miner |
| Address | Charters Towers PO, Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs M J Millican, Felix Street, Charters Towers, Queensland |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 13 February 1917 |