| Regimental number | 6786A |
| Place of birth | Forestgate England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | East Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Miss R Courtney, 55 Studley Road, Forest Gate, London, England |
| Enlistment date | 6 July 1917 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 15 September 1918 |
