| Regimental number | 785 |
| Place of birth | Maryborough Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Merton Road, South Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Ada Fedrick, Merton Road, South Brisbane, Queensland |
| Enlistment date | 31 December 1915 |
| Rank on enlistment | Private |
| Unit name | 42nd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/59/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 13 April 1919 |
