| Regimental number | 58112 |
| Place of birth | Mackay Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Dows Creek via Mirani, Mackay, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S E Jenner, Dows Creek via Mirani, Mackay, Queensland |
| Enlistment date | 23 May 1918 |
| Rank on enlistment | Private |
| Unit name | 6th (Queensland) Reinforcements |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Depot Unit of Supply |
| Fate | Returned to Australia 3 September 1919 |
