| Regimental number | 6911 |
| Place of birth | Surrey England |
| Religion | Church of England |
| Occupation | Sawyer |
| Address | Warwick, Queensland |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Jane Cross, Killarney via Warwick, Queensland |
| Enlistment date | 14 April 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 1 February 1918 |
