| Regimental number | 57770 |
| Place of birth | Laidley Queensland |
| Religion | Congregational |
| Occupation | Farmer |
| Address | Wallace Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs J Brisbane, Wallace Street, Toowoomba, Queensland |
| Enlistment date | 8 April 1918 |
| Date of enlistment from Nominal Roll | 9 April 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 10 August 1918 |
