| Regimental number | 6707 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Porter |
| Address | Leafield, Nicholson Street, Chatswood, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Sister, Mrs R V Shaylor, Leafield, Nicholson Street, Chatswood, North Sydney, New South Wales |
| Enlistment date | 3 June 1916 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| 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 | 3rd Battalion |
| Fate | Returned to Australia 19 February 1919 |
