| Regimental number | 6122 |
| Place of birth | Watton England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 26 Rawson Street, Newtown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M Pye, Fairlight, Saskatchewan, Canada |
| Enlistment date | 23 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 10 September 1917 |
