| Regimental number | 7122 |
| Place of birth | Carnarvon, England |
| Religion | Congregational |
| Occupation | Miner |
| Address | Kurri Kurri, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs C M Williams c/o Mrs D Woods, Ivanhoe Cottage Eastparade, Sutherland, New South Wales |
| Enlistment date | 3 July 1917 |
| Place of enlistment | Newcastle, New South Wales |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Effective abroad (still overseas) |
