| Regimental number | 6986 |
| Place of birth | Garah New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Ashley, via Moree, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Sister, Mrs E Guyer, Ashley, via Moree, New South Wales |
| Enlistment date | 26 October 1916 |
| Date of enlistment from Nominal Roll | 21 October 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 1 February 1918 |
