| Regimental number | 5830 |
| Place of birth | Bridgetown, Western Australia |
| Religion | Church of England |
| Occupation | Forest ranger |
| Address | Bridgetown, Western Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Mary Louisa Helen, Doust Ivy Cottage, Bridgetown, Western Australia |
| Enlistment date | 30 May 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on 30 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 4 May 1917 |
