| Regimental number | 4929 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | Brilliant Road, South Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs E Ingram, Brilliant Road, South Bathurst, New South Wales |
| Enlistment date | 28 October 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 61st Battalion |
| Fate | Returned to Australia 22 July 1917 |
