| Regimental number | 57669 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Fourth Street, Railway Estate, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Sister, Mrs E Northwood, Fourth Street, Railway Estate, Townsville, Queensland |
| Enlistment date | 4 April 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 24 January 1919 |
