| Regimental number | 3402 |
| Place of birth | Port Adelaide South Australia |
| Religion | Church of England |
| Occupation | Station hand |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Maria George, Kintore Street, Mile End, South Australia |
| Enlistment date | 20 December 1916 |
| Date of enlistment from Nominal Roll | 17 March 1916 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 21 December 1917 |
