| Regimental number | 7262 |
| Place of birth | Geraldton, Western Australia |
| Religion | Church of England |
| Occupation | Lumper |
| Address | Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs A M Assan, 46 James Street, Fremantle, Western Australia |
| Enlistment date | 27 November 1917 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Ormonde on 13 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 12 July 1919 |
