| Regimental number | 6119 |
| Place of birth | Mattong New South Wales |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Matong, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Friend, Mrs W Evans, Matong, New South Wales |
| Enlistment date | 31 August 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Effective abroad (still overseas) |
