| Regimental number | 3103 |
| Place of birth | Allandale |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Avoca Street, Randwick, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Mitchell, Goulburn, New South Wales |
| Enlistment date | 10 October 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 10 March 1918 |
