| Regimental number | 5035 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Bookkeeper |
| Address | Cobar Creek, Willoughby, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Daughter, Mrs E Vears Cobar Street, Willoughby, Sydney, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 4 May 1917 |
