| Regimental number | 1053 |
| Place of birth | Kempsey New South Wales |
| Religion | Church of England |
| Occupation | Mariner |
| Address | Kempsey, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Sister, Mrs Catherine Jackson, West Kempsey, New South Wales |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, D Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 5 November 1917 |
