| Regimental number | 1004 |
| Place of birth | West Wilton, England |
| Religion | Church of England |
| Occupation | Publican |
| Address | Byers Road, Midland Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Mrs Isabel Smith Graham, Byers Road, Midland Junction, Western Australia |
| Enlistment date | 3 September 1914 |
| Date of enlistment from Nominal Roll | 2 September 1914 |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Sergeant (Cook) |
| Unit name | 28th Battalion, C Company |
| AWM Embarkation Roll number | 23/45/1 |
| Embarkation details | Unit embarked from |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A11 Ascanius on 29 June 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A36 on 12 July 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 22 July 1917 |
