| Regimental number | 4657 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Laborer |
| Address | 80 Harrow Road, Auburn, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Atkinson, 80 Harrow Road, Auburn, Sydney, New South Wales |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 27 January 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 20 May 1919 |
