| Regimental number | 53997 |
| Place of birth | Northhampton England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Miller's Point, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Mrs E Maryong, 118 Little Heath, Old Charlton, Kent, England |
| Enlistment date | 24 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 | 33rd Battalion |
| Fate | Discharged 19 September 1919 |
