| Regimental number | 716 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | P and Q, Fiji Constabulary |
| Address | Levona, Balfour Street, Linfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs L Burrows, Colonial Hospital, Suva, Fiji |
| Enlistment date | 6 October 1916 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 2, Reinforcement 13 |
| AWM Embarkation Roll number | 24/7/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A29 Suevic on 21 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 30 June 1918 |
