| Regimental number | 4122 |
| Place of birth | Cornwall England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 48 Leamington, Mannington, Bradford, England |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary Hall, 48 Leamington, Mannington, Bradford, England |
| Enlistment date | 28 December 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia 29 May 1919 |
