| Regimental number | 6702 |
| Place of birth | Nevertire New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 5 Whistler Road, Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs A Andrews, 5 Whistler Road, Manly, New South Wales |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 9 February 1919 |
