| Regimental number | 53563 |
| Place of birth | Riverstone New South Wales |
| Religion | Church of England |
| Occupation | Casing cleaner |
| Address | Riverstone, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R Teale, Crown Road, Riverstone, New South Wales |
| Enlistment date | 14 March 1918 |
| Date of enlistment from Nominal Roll | 22 February 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/5 |
| 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 | 53rd Battalion |
| Fate | Returned to Australia 8 July 1919 |
