| Regimental number | 6791 |
| Place of birth | Richmond Victoria |
| Religion | Church of England |
| Occupation | Tailor |
| Address | 2 Rush Street, Woollahra, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Sister, Mrs. A Lord, Third Street, Black Rock, Melbourne, Victoria |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 6 July 1919 |
