| Regimental number | 163 |
| Place of birth | Emmanville New South Wales |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Macquarie Street, Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs C Rose, Macquarie Street, Glen Innes, New South Wales |
| Enlistment date | 7 December 1915 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, A Company |
| AWM Embarkation Roll number | 23/50/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 4 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 17 June 1918 |
