| Regimental number | 2789 |
| Place of birth | Emmaville New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Nardoo via Armidale, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Annie Julia Fraser, Ben Venue via Armidale, New South Wales |
| Enlistment date | 1 August 1916 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 6 November 1918 |
