| Regimental number | 57653 |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Veronica, Turbot Street, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Legatee, Mrs R T Jones, 67 Hackey Road, Adelaide, South Australia |
| Enlistment date | 1 May 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 25 September 1919 |