| Regimental number | 6874 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 135 Hargrave Street, Paddington, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, F W Innes, 135 Hargrave Street, Paddington, New South Wales |
| Enlistment date | 8 November 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 4 May 1917 |
