| Regimental number | 5110 |
| Place of birth | Leicester England |
| Religion | Baptist |
| Occupation | Timber worker |
| Address | Nannup, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs C Harrald, The Green, Mount Sorrell near Loughborough, England |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
