| Regimental number | 6376 |
| Place of birth | Christinana Norway |
| Religion | Church of England |
| Occupation | Miner |
| Address | Joe Street, Bunbury, Western Australia |
| Age at embarkation | 30 |
| Enlistment date | 4 October 1916 |
| Date of enlistment from Nominal Roll | 12 September 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/45/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Persic on 29 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 15 September 1918 |
