| Regimental number | 1821 |
| Place of birth | Pickham England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Springvale, Burrowang, Mossvale, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Friend, Miss Annie Virtue, Springvale, Robertson Road, Burrowang, Mossvale, New South Wales |
| Enlistment date | 4 March 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 12 December 1918 |
