| Regimental number | 5091 |
| Place of birth | Woolwich England |
| Religion | Church of England |
| Occupation | Miner |
| Address | Collieburn via Collie, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs F Franks, Collieburn, Collie, Western Australia |
| Enlistment date | 21 January 1916 |
| Date of enlistment from Nominal Roll | 22 January 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 3 March 1919 |
