| Regimental number | 3805 |
| Place of birth | Forest Range, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Warramboo, via Port Lincoln, South Australia |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Friend, Miss Sarah Ann Tylor, Commercial Hotel, Freeling, South Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death |