| Regimental number | 5031 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | engine fireman |
| Address | Narrogin, Western Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Retell, Ulster Road, Albany, Western Australia |
| Enlistment date | 14 December 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
