| Regimental number | 5003 |
| Place of birth | Mount Morgan Queensland |
| Religion | Church of England |
| Occupation | Ironmoulder |
| Address | 129 Bondi Road, Bondi, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mrs E E Dacey, 129 Bondi Road, Bondi, New South Wales |
| Enlistment date | 5 February 1916 |
| Date of enlistment from Nominal Roll | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 20 June 1919 |
