| Regimental number | 2002 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Parkes Road, Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Aunt, Mrs D Pearson, Parkes Road, Wellington, New South Wales |
| Enlistment date | 17 June 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 11 January 1918 |
