| Regimental number | 5512 |
| Place of birth | Mount Pleasant Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Upper North Pine, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J Pritchard, Upper North Pine, Queensland |
| Enlistment date | 30 December 1915 |
| Date of enlistment from Nominal Roll | 26 April 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 13 February 1917 |
