| Regimental number | 1216 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Llwyn Lodge, Llanfyllin, Montgomeryshire, Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mr J Gittins, Llwyn Lodge, Llanfyllin, Montgomeryshire, Wales |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade Train 4 |
| AWM Embarkation Roll number | 25/97/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A39 Port Macquarie on 21 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
