| Regimental number | 5355 |
| Place of birth | Southport England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Quamby William Street, Brighton, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Dorothy Houldsworth, Quamby William Street, Brighton, Victoria |
| Enlistment date | 28 May 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Fate | No details of fate entered on Nominal Roll |