| Regimental number | 507 |
| Place of birth | Ravenswood Queensland |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | 'Taree', North Street, Marrickville, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Bernie Irene Jewell, 'Brundah', Addison Road, Marrickville, Sydney, New South Wales |
| Enlistment date | 1 August 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 9, Reinforcement 7 |
| AWM Embarkation Roll number | 24/14/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 19 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 12 May 1919 |
