| Regimental number | 6871 |
| Place of birth | Somerset England |
| Religion | Church of England |
| Occupation | Carter |
| Address | 9 Linden Court, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | M A Martin, 97 Oxford Street, Bondi Junction, New South Wales |
| Enlistment date | 22 May 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 18 January 1919 |
