| Regimental number | 7628 |
| Place of birth | Gympie Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M E Dixon c/o Mrs Lloyd, Kennedy Terrace, Red Hill, Brisbane, Queensland |
| Enlistment date | 24 April 1917 |
| Date of enlistment from Nominal Roll | 2 April 1917 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/32/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 4 January 1919 |
