| Regimental number | 53728 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs E Fulford, Delamere Road, Launceston, Tasmania |
| Enlistment date | 16 January 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 16 August 1919 |
