| Regimental number | 2207 |
| Religion | Methodist |
| Occupation | Horse breaker |
| Address | 'Llandaff', Young Road, Lambton, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Sister, Mrs Arthur Chivers, Penybont Road, Cwmtillery, Monmouthshire, England |
| Enlistment date | 14 July 1916 |
| Date of enlistment from Nominal Roll | 22 July 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 24 August 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 4 July 1919 |
