| Regimental number | 4763 |
| Place of birth | Toowoomba Queensland |
| Religion | Presbyterian |
| Occupation | Stonemason |
| Address | Yass, New South Wales |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs M Dickson, Demestre Street, Yass, New South Wales |
| Enlistment date | 8 March 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 9 February 1919 |
