| Regimental number | 5075 |
| Place of birth | Fisherton Anger England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 16 Le Hunte Street, Wayville, South Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs F Courtney, 16 Le Hunte Street, Wayville, South Australia |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 8 April 1918 |
