| Regimental number | 4629 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 36 Prospect Road, Summer Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs K Conder, 36 Prospect Road, Summer Hill, Sydney, New South Wales |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 20 June 1919 |
