| Regimental number | 1789 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Gurley Station, Gurley, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Aunt, Mrs Perriton, 9 Bath Street, Plymouth, England |
| Enlistment date | 21 November 1916 |
| Place of enlistment | Armidale, New South Wales |
| Rank on enlistment | Private |
| Unit name | Camel Corps November 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 12 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Anzac Battalion, Imperial Camel Corps |
| Fate | Returned to Australia 23 August 1917 |