| Regimental number | 6215 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | 76 Glebe Street, Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs M Atkinson, 76 Glebe Street, Glebe, New South Wales |
| Enlistment date | 20 April 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| 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 | 1st Battalion |
| Fate | Returned to Australia 25 August 1917 |