| Regimental number | 53099 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bridge Street, West Toowoomba, Queensland |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs M D Staines, Bridge Street, West Toowoomba, Queensland |
| Enlistment date | 8 March 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 2 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 22 July 1919 |
