| Regimental number | 6866 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | Turners Avenue, Haberfield, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Tinham, Turners Avenue, Haberfield, Sydney New South Wales |
| Enlistment date | 23 October 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 20 May 1919 |
