| Regimental number | 7100 |
| Place of birth | Bristol England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | PO, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs S Pritchard, 1 Bread Street, St Phillips, Bristol, England |
| Enlistment date | 19 October 1916 |
| Date of enlistment from Nominal Roll | 17 October 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 11 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 15 April 1918 |
