| Regimental number | 7484 |
| Place of birth | Bungendore New South Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Bungendore, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs E A Harriott, Bungendore, New South Wales |
| Enlistment date | 2 July 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/21/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 6 July 1919 |
