| Regimental number | 5683 |
| Place of birth | Bathurst New South Wales |
| Religion | Presbyterian |
| Occupation | Glass blower |
| Address | 14 Adelaide Street, Bondi, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Sister, Mrs Emily Baxter, Market Street, San Francisco, USA |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/34/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 12 May 1918 |
