| Regimental number | 1666 |
| Place of birth | Lismore New South Wales |
| Religion | Presbyterian |
| Occupation | Dairy farmer |
| Address | Coraki, Richmond River, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs M A Burgess, Huttonville Farm, Lismore, New South Wales |
| Enlistment date | 3 June 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 28 July 1915 |
| Fate | No details of fate entered on Nominal Roll |
