| Regimental number | 1563A |
| Place of birth | Birkenhead England |
| Religion | Church of England |
| Occupation | Shearer |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mrs J O Donatt, 93 Arthur Street, Birkenhead, England |
| Enlistment date | 22 June 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on 29 June 1915 |
| Regimental number from Nominal Roll | 1563 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 18 October 1917 |