| Regimental number | 8812 |
| Place of birth | Hampshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Denmark, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Step-Father, F W Blythe, Denmark, Western Australia |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 14 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 12 February 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Returned to Australia 21 June 1919 |