| Regimental number | 638 |
| Place of birth | Devon England |
| Religion | Baptist |
| Occupation | Draper |
| Address | 17 Brampton Street, Tiverton Devon, England |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | J Goss, 17 Brampton Street, Tiverton Devon, England |
| Enlistment date | 4 January 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, C Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 21 January 1916 |
