| Regimental number | 165 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs Elizabeth Fosdick, 18 Drayton Gardens, West Ealing London, England |
| Enlistment date | 27 August 1914 |
| Date of enlistment from Nominal Roll | 18 August 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, B Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 31 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 3 December 1918 |