| Regimental number | 6813 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | Mavis, Carr Street, Coogee, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs. M.R. Patrick, Mavis, Carr Street, Coogee, New South Wales |
| Enlistment date | 27 March 1916 |
| Date of enlistment from Nominal Roll | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 4 May 1917 |
