| Regimental number | 2120 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 7 College Street, Croydon, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Aunt, Miss S Adams, 7 College Street, Croydon, New South Wales |
| Enlistment date | 1 December 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company June 1917, General Reinforcements |
| AWM Embarkation Roll number | 24/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 11 May 1919 |
