| Regimental number | 2516 |
| Place of birth | Cheshire England |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Hammersley Road, Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Marjorie Doris Humphrey, 76 Colin Street, West Perth, Western Australia |
| Enlistment date | 26 April 1915 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Miscellaneous details (Nominal Roll) | see other |
