| Regimental number | 7022 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | Newtown, New South Wales |
| Marital status | Married (Separated) |
| Age at embarkation | 41 |
| Next of kin | Mother |
| Enlistment date | 20 August 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 12 May 1918 |
