| Regimental number | 4702 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | 128 Stanmore Road, Petersham, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs E Cunningham, 125 Stanmore Road, Petersham, New South Wales |
| Enlistment date | 1 February 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Returned to Australia 23 September 1919 |
