| Regimental number | 2401 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Bootmaker |
| Address | L8 Premier Street, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Uncle, Fletcher, L8 Premier Street, Marrickville, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Recommendations (Medals and Awards) |
Mention in Despatches Recommendation date: |
| Fate | Returned to Australia |