| Regimental number | 819 |
| Place of birth | Granville New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coramba, Moncur Street, Marrickville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs C S Annis, Coramba, Moncur Street, Marrickville, Sydney, New South Wales |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, D Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 25 March 1919 |
