| Regimental number | 6791 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, Miss Florrie Goodband, 'Rosleigh', Grosvenor Street, Croydon, New South Wales |
| Enlistment date | 20 April 1917 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 21 April 1918 |
