| Regimental number | 754 |
| Place of birth | Balmain New South Wales |
| Religion | Church of England |
| Occupation | Stoker |
| Address | 15 Ann Street, Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Charlotte Everingham, 15 Ann Street, Balmain, Sydney, New South Wales |
| Enlistment date | 21 February 1916 |
| Date of enlistment from Nominal Roll | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, C Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 5 July 1919 |
