| Regimental number | 369 |
| Place of birth | Boulder, Western Australia |
| Religion | Baptist |
| Occupation | Carpenter |
| Address | 726 Malvern Road, Armadale, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Aunt, Mrs H Daniel, 726 Malvern Road, Armadale, Victoria |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 5 |
| AWM Embarkation Roll number | 24/7/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 19 September 1916 |
| Regimental number from Nominal Roll | 369B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 4 June 1919 |
