| Regimental number | 1781 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | East Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs E L Backhouse, 12 Liverpool Lane, Darlinghurst, New South Wales |
| Enlistment date | 28 February 1919 |
| Rank on enlistment | Private |
| Unit name | Australian Naval & Military Expeditionary Force Reinforcements, March 1915 to May 1919 |
| AWM Embarkation Roll number | 23/112/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 5 April 1919 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia |
