| Regimental number | 6129 |
| Place of birth | South Coast New South Wales |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Friend, Annie Neil, 228 Lennox Street, Camperdown, New South Wales |
| Enlistment date | 3 July 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/37/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 10 January 1918 |
