| Regimental number | 50640 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane Street, Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs E J Gutteridge, Wellington Street, Mackay, Queensland |
| Enlistment date | 22 January 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps Details |
| Fate | Effective abroad (still overseas) |
