| Regimental number | 8626 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 777 High Road, Leytonstone, Essex, England |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Aunt, M Grimshaw, 777 High Road, Leytonstone, Essex, England |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | Infantry Brigade 4,Field Ambulance 5, Reinforcement 8 |
| AWM Embarkation Roll number | 26/48/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Army Divisional Motor Transport Company |
| Fate | Effective abroad (still overseas) |