| Regimental number | 5097 |
| Place of birth | Cheddington England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Narrogin, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs M A Gates, Cheddington, Bucks, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on |