| Regimental number | 4238 |
| Place of birth | Queanbeyan New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Queanbeyan, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs K J Swan, Drayton, New South Wales |
| Enlistment date | 25 August 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 31 May 1919 |
