| Regimental number | 5750 |
| Place of birth | Richmond New South Wales |
| Religion | Church of England |
| Occupation | Brick maker |
| Address | Wonoona Parade, Oatley, New South Wales |
| Marital status | Single |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs E Bruce, Woonona Parade, Oatley, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 21 July 1917 |
