| Regimental number | 4721 |
| Place of birth | Eidsrold Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mount Usher via Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Annie Farrow, Mount Usher via Rockhampton, Queensland |
| Enlistment date | 1 November 1915 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/43/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ADC |
| Fate | Returned to Australia 4 June 1919 |