| Regimental number | 4207 |
| Place of birth | Nyngan New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Werris Creek, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mr A Hume, Werris Creek, New South Wales |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Regimental number from Nominal Roll | 4207A |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 5 April 1919 |
