| Regimental number | 191 |
| Place of birth | Bridgewater England |
| Religion | Congregational |
| Occupation | Farmer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs W House, Nuttree Farm, Bridgewater, England |
| Enlistment date | 9 September 1914 |
| Date of enlistment from Nominal Roll | 24 August 1914 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, B Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on 31 October 1914 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 24 August 1918 |
