| Regimental number | 3784 |
| Place of birth | Halet South Australia |
| Religion | Church of England |
| Occupation | Sleeper hewer |
| Address | Capel, Western Australia |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Grace Kelly Cross, Capel, Western Australia |
| Enlistment date | 16 May 1917 |
| Date of enlistment from Nominal Roll | 4 May 1917 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 11 January 1918 |
