| Regimental number | 1809 |
| Place of birth | Newcastle New South Wales |
| Religion | Baptist |
| Occupation | Blacksmith |
| Address | Pitt Street, Boolaroo, New South Wales |
| Marital status | Married |
| Age at embarkation | 19 |
| Next of kin | Wife, Mrs R Rees, Raglan Street, Long Bay, New South Wales |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 5 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 2 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Effective abroad (still overseas) |
