| Regimental number | 7733 |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Midland Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Maud Zillah Firth, Williams Street, Midland Junction, Western Australia |
| Enlistment date | 20 April 1917 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
