| Regimental number | 5303 |
| Place of birth | North Adelaide South Australia |
| Religion | Church of England |
| Occupation | Iron moulder |
| Address | Unley, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs M Beasley, 48 Arthur Street, Unley, South Australia |
| Enlistment date | 23 April 1915 |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on 17 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Discharged 18 July 1918 |
