| Regimental number | 2419 |
| Place of birth | Annandale New South Wales |
| Religion | Methodist |
| Occupation | Groom |
| Address | 14 Chrystal Street, Petersham, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Norman, 14 Chrystal Street, Petersham, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A75 Ballarat on 6 September 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | a T M T Company |
| Fate | Returned to Australia 21 June 1919 |
