| Regimental number | 53987 |
| Place of birth | Geehan Tasmania |
| Religion | Church of England |
| Occupation | Miner |
| Address | Botany, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Friend, E Barlow, La Perouse Hotel, Botany Road, Botany, New South Wales |
| Enlistment date | 23 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ABD |
| Fate | Returned to Australia 20 July 1919 |
