| Regimental number | 4519 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Police Station, Richmond, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Father, St George Ross, Police Station, Richmond, New South Wales |
| Enlistment date | 12 October 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 20 May 1919 |
