| Regimental number | 5500 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Annandale Street, Annandale, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, M Hurst, Annandale Street, Annandale, Sydney, New South Wales |
| Enlistment date | 7 December 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 10 July 1916 |
