| Regimental number | 4790 |
| Place of birth | Wigton England |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Redgalein Hassans Walls Road Lithgow, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Guardian, Mrs L Hampson, Wanderee Ferry Street, Drummoyne, New South Wales |
| Enlistment date | 9 November 1915 |
| Date of enlistment from Nominal Roll | 13 November 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia 1 May 1919 |
