| Regimental number | 4772 |
| Place of birth | Paddington New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | Royal Hotel, Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Friend, J Ware, Royal Hotel, Lismore, New South Wales |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Trench Mortar Battery |
| Fate | Returned to Australia 1 February 1918 |
