| Regimental number | 6664 |
| Place of birth | Warialda New South Wales |
| Religion | Roman Catholic |
| Occupation | SA factory guard |
| Address | Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs L Wainwright c/o Mrs Marsden, Blayney, New South Wales |
| Enlistment date | 15 January 1917 |
| Date of enlistment from Nominal Roll | 8 January 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Casualty Clearing Station |
| Fate | Returned to Australia 2 January 1919 |
