| Regimental number | 5761 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 147 Robert Street, Camperdown, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Russell, Blackett's Farm, Tong, via Sittinbourne, Kent, England |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 21 July 1917 |
