| Regimental number | 16074 |
| Place of birth | Walcha New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Chinchilla, Queensland |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs M Mann, Tiara Station, Walcha, New South Wales |
| Enlistment date | 2 October 1915 |
| Rank on enlistment | Private |
| Unit name | November 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 22 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Returned to Australia 6 May 1919 |
