| Regimental number | 1363 |
| Place of birth | Kings Lynn England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 7 South Street, King's Lynn Norfolk, England |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | ..., J Bailey, 7 South Street, King's Lynn Norfolk, England |
| Enlistment date | 5 April 1915 |
| Date of enlistment from Nominal Roll | 5 April 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, D Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A32 Themistocles on 12 May 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | INF17CD |
| Fate | Returned to Australia 26 September 1917 |
