| Regimental number | 7084 |
| Place of birth | Cheshire England |
| Religion | Church of England |
| Occupation | Electroplater |
| Address | Tantivy Road, Tivoli Hill North Ipswich, Queensland |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs J Heaps, Tantivy Road, Tivoli Hill North Ipswich, Queensland |
| Enlistment date | 5 July 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 12 May 1918 |
