| Regimental number | 5367 |
| Place of birth | Burnham England |
| Religion | Church of England |
| Occupation | Motorman |
| Address | Cecil Street, Victoria Park, Western Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs E Harris, Walverdine, Cecil Street, Victoria Park, Western Australia |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 3 December 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 6 May 1919 |
