| Regimental number | 2551 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Sawmill hand |
| Address | Union Street, South Lismore, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Jane Fancourt, Union Street, South Lismore, Richmond River, New South Wales |
| Enlistment date | 18 September 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 42nd Battalion |
| Fate | Returned to Australia 31 October 1917 |
