| Regimental number | 5783 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Slaughterman |
| Address | Staple Street, Bexley, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs I H Watts, Staple Street, Bexley, New South Wales |
| Enlistment date | 9 February 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| 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 | 4th Battalion |
| Fate | Returned to Australia 17 June 1918 |
