| Regimental number | 6764 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Harnessmaker |
| Address | Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Minnie Cecilia Stocker, Waddell Road, Marrickville, New South Wales |
| Enlistment date | 28 May 1917 |
| Date of enlistment from Nominal Roll | 19 August 1914 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 20 January 1916 |
