| Regimental number | 4292 |
| Place of birth | Myambellah New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Collarenebri, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Annie Flick, Collarenebri, New South Wales |
| Enlistment date | 16 May 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Corps Details |
| Fate | Returned to Australia 19 February 1919 |
