| Regimental number | 4112 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Sister, Mrs Agnes Bland, Kalka, North Rockhampton, Queensland |
| Enlistment date | 16 September 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 4 May 1917 |
