| Regimental number | 62077 |
| Place of birth | Invercargill, New Zealand |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Clare, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Friend, Mrs Mary Ann Healey, Lowe Street, Avenal, Invercargill, New Zealand |
| Enlistment date | 29 June 1918 |
| Place of enlistment | Clare, South Australia |
| Rank on enlistment | Private |
| Unit name | 1-6 (SA) Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Gaika on 6 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 8 September 1919 |