| Regimental number | 6485 |
| Place of birth | Gumeracha South Australia |
| Religion | Methodist |
| Occupation | Fitter |
| Address | Wallaroo, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E Crook, Stirling Street, Wallaroo, South Australia |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A16 Port Melbourne on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 12 May 1919 |