| Regimental number | 6036 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Trafalgar Street, Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Miss E Harrison, Trafalgar Street, Petersham, New South Wales |
| Enlistment date | 28 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 9 December 1918 |
