| Regimental number | 2104 |
| Place of birth | Woloania New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Nanango via Kingaroy, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Mrs Caroline Summons, Boggabilla PO, Boggabilla, New South Wales |
| Enlistment date | 21 March 1916 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A46 Clan Macgillivray on 7 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |
| Other details | Medals: British War Medal, Victory Medal |
| Date of death | 17 June 1964 |
| Age at death | 75 |
| Place of burial | Boggabilla Cemetery, New South Wales |
